# MEDI-RX PHARMACY, INC

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

## Provider details

- **NPI number:** 1750332763
- **Authorized official:** MR. JOHN EMMETT MCLACHLAN RPH (PRESIDENT/OWNER)
- **Authorized official phone:** (815) 433-2255

## Contact information

- **Practice address:** 411 W MAIN ST, OTTAWA, IL 61350-2801
- **Practice address phone:** (815) 433-2255
- **Practice address fax:** (815) 434-0391
- **Mailing address:** 411 W MAIN ST, OTTAWA, IL 61350-2801
- **Mailing address phone:** (815) 433-2255
- **Mailing address fax:** (815) 434-0391

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1407281 | NABP INS NUMBER | — |