Organization
BODE DRUG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL E BODE RPH (PRESIDENT)
(618) 734-4321
Entity
Organization
Contact information
Practice address
1201 WASHINGTON AVE, CAIRO, IL 62914-1808
(618) 734-4321
(618) 734-4525
Mailing address
1201 WASHINGTON AVE, CAIRO, IL 62914-1808
(618) 734-4321
(618) 734-4525
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54-11999
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1446625
NABP
IL
Enumeration date
10/17/2006
Last updated
04/20/2008
Update your record
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