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Organization

PAMIDA STORES OPERATING CO LLC

Active
Other names
Pamida Pharmacy #683
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN HARLOW (CEO/PRESIDENT)
(402) 596-7206
Entity
Organization

Contact information

Practice address
116 N MAIN, WHITE HALL, IL 62092
(217) 374-6712
(217) 374-6405
Mailing address
116 N MAIN, WHITE HALL, IL 62092
(217) 374-6712
(217) 374-6405

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
12/24/2007
Last updated
10/01/2010
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