Organization
BODE DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL E BODE (PRESIDENT)
(618) 748-9253
Entity
Organization
Contact information
Practice address
211 MAIN ST, MOUND CITY, IL 62963-1163
(618) 748-9253
(618) 748-9850
Mailing address
PO BOX 110, MOUND CITY, IL 62963-0110
(573) 270-5013
(618) 748-9850
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
054013231
IL
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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