Organization
SCOTTS FAMILY PHARMACY INC
Active
Other names
SCOTTS FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT EDGAR RPH (PRESIDENT / PIC)
(217) 784-8241
Entity
Organization
Contact information
Practice address
220 N SANGAMON AVE, GIBSON CITY, IL 60936-1345
(217) 784-8241
(217) 784-5506
Mailing address
220 N SANGAMON AVE, GIBSON CITY, IL 60936-1345
(217) 784-8241
(217) 784-5506
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054014725
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016848
PK
—
Enumeration date
02/21/2007
Last updated
11/30/2016
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