# MORELAND & DEVITT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moreland & Devitt Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447354485
- **Authorized official:** MR. SCOTT ALLEN STOLL (CHEIF OPERATIONS OFFICER)
- **Authorized official phone:** (217) 322-3333

## Contact information

- **Practice address:** 200 PITTSFIELD RD \# B, MT STERLING, IL 62353-1626
- **Practice address phone:** (217) 773-2144
- **Practice address fax:** (217) 773-2832
- **Mailing address:** 200 PITTSFIELD RD \# B, MT STERLING, IL 62353-1626
- **Mailing address phone:** (217) 773-2144
- **Mailing address fax:** (217) 773-2832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054018459 | IL | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 05/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2143148 | PK | — |