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Organization

PHARMACY PLUS INC

Active
Other names
Pharmacy Plus Inc
Organization subpart
No

Provider details

NPI number
Authorized official
BYRON BERRY BS PHARMACY (PRESIDENT/OWNER)
(217) 248-6868
Entity
Organization

Contact information

Practice address
213 W CLAY ST, ROODHOUSE, IL 62082-1344
(217) 589-4313
(217) 589-5121
Mailing address
213 W CLAY ST, ROODHOUSE, IL 62082-1344
(217) 589-4313
(217) 589-5121

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
054019671
IL
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2159108
PK
Enumeration date
10/17/2006
Last updated
03/07/2017
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