Organization
MORELAND & DEVITT INC
Active
Other names
Moreland & Devitt Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ALLEN STOLL (CHEIF OPERATIONS OFFICER)
(217) 322-3333
Entity
Organization
Contact information
Practice address
118 E BEARDSTOWN ST, VIRGINIA, IL 62691-1303
(217) 452-3301
(217) 452-7532
Mailing address
PO BOX 41, VIRGINIA, IL 62691-0041
(217) 452-3301
(217) 452-7532
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.017557
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165729
PK
—
Enumeration date
11/04/2016
Last updated
06/02/2023
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