# HARDIN COUNTY PHARMACY LLC

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

## Provider details

- **NPI number:** 1740717719
- **Authorized official:** DR. AMANDA LEA ETIENNE PHARMD (OWNER)
- **Authorized official phone:** (618) 285-6618

## Contact information

- **Practice address:** 7 FERRELL RD, ROSICLARE, IL 62982-1006
- **Practice address phone:** (618) 285-6618
- **Practice address fax:** (618) 285-3147
- **Mailing address:** 7 FERRELL RD, ROSICLARE, IL 62982-1006
- **Mailing address phone:** (618) 285-6618
- **Mailing address fax:** (618) 285-3147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054020393 | IL | Yes |

## Other

- **Enumeration date:** 05/22/2017
- **Last updated:** 07/21/2022