# HERRIN DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Herrin Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417947870
- **Authorized official:** MR. DAVID ALLEN MATTINGLY R.PH. (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (618) 942-5315

## Contact information

- **Practice address:** 116 N PARK AVE, HERRIN, IL 62948-3148
- **Practice address phone:** (618) 942-5315
- **Practice address fax:** (618) 942-4584
- **Mailing address:** 116 N PARK AVE, HERRIN, IL 62948-3148
- **Mailing address phone:** (618) 942-5315
- **Mailing address fax:** (618) 942-4584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 054007687 | IL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 11/24/2020