# MBRX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAP PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629180567
- **Authorized official:** MARTIN R BARRON RPH (PRES MBRX PHARMACIST)
- **Authorized official phone:** (217) 245-1077

## Contact information

- **Practice address:** 1111 W MORTON AVE, JACKSONVILLE, IL 62650-3165
- **Practice address phone:** (217) 245-1077
- **Practice address fax:** (217) 245-0006
- **Mailing address:** 1111 W MORTON AVE, JACKSONVILLE, IL 62650-3165
- **Mailing address phone:** (217) 245-1077
- **Mailing address fax:** (217) 245-0006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 054014047 | IL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1456765 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 3116317906265001 | — | IL |
| 05 | — | 371239851001 | — | IL |