# BODE DRUG INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588744254
- **Authorized official:** MR. CARL E BODE RPH (PRESIDENT)
- **Authorized official phone:** (618) 748-9253

## Contact information

- **Practice address:** 211 MAIN ST, MOUND CITY, IL 62963-1163
- **Practice address phone:** (618) 748-9253
- **Practice address fax:** (618) 748-9850
- **Mailing address:** PO BOX 110, MOUND CITY, IL 62963-0110
- **Mailing address phone:** (618) 748-9253
- **Mailing address fax:** (618) 748-9850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 54-13231 | IL | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14-38820 | NABP | IL |