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Organization
GROCERIES OF SOUTHERN ILLINOIS, LLC.
Active
Organization
GROCERIES OF SOUTHERN ILLINOIS, LLC.
Active
Other names
Red Bud Country Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGHAN HEURING PHARM.D. (DIRECTOR OF PHARMACY)
(618) 539-3164
Entity
Organization
Contact information
Practice address
1375 S MAIN ST, RED BUD, IL 62278-1352
(618) 282-6658
(618) 282-6488
Mailing address
1375 S MAIN ST, RED BUD, IL 62278-1352
(618) 282-6658
(618) 282-6488
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054018566
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023324
PK
—
05
—
371074357001
—
IL
Enumeration date
12/04/2006
Last updated
08/04/2025
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