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Organization
ENDRIS PHARMACY INC
Active
Organization
ENDRIS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD ENDRIS RPH (OWNER)
(217) 562-2232
Entity
Organization
Contact information
Practice address
109 S LOCUST ST, PANA, IL 62557-1429
(217) 562-2232
(217) 562-2485
Mailing address
PO BOX 108, PANA, IL 62557-0108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1401417
OTHER ID NUMBER
—
Enumeration date
08/18/2006
Last updated
04/20/2008
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