# LETITRIDE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LETITRIDE INC
- **Other names:** Fairbury Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386242352
- **Legal business name:** LETITRIDE INC
- **Authorized official:** ERIC DANIEL URBANOWSKI (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (815) 669-9904

## Contact information

- **Practice address:** 501 W OAK ST, FAIRBURY, IL 61739-1444
- **Practice address phone:** (815) 692-1250
- **Practice address fax:** (815) 692-1253
- **Mailing address:** 501 W OAK ST, FAIRBURY, IL 61739-1444
- **Mailing address phone:** (815) 692-1250
- **Mailing address fax:** (815) 945-7466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2020
- **Last updated:** 07/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4737841114002 | — | IL |