Organization
BANDYS APOTHECARY SHOPS INC
Active
Other names
Bandy's Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BANDY (PRESIDENT)
(618) 533-3300
Entity
Organization
Contact information
Practice address
817 E MCCORD ST, CENTRALIA, IL 62801
(618) 533-3300
(618) 533-3302
Mailing address
817 E MCCORD ST, CENTRALIA, IL 62801-3044
(618) 533-3300
(618) 533-3302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.019697
IL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156026
PK
—
Enumeration date
05/11/2006
Last updated
06/12/2024
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