Organization
MONTICELLO DRUGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN R WOODRUFF RPH (PHARMACIST IN CHARGE)
(217) 762-3176
Entity
Organization
Contact information
Practice address
109 W MAIN ST, MONTICELLO, IL 61856-1967
(217) 762-3176
(217) 762-2330
Mailing address
109 W MAIN ST, MONTICELLO, IL 61856-1967
(217) 762-3176
(217) 762-2330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18710433
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1452921
NABP
—
Enumeration date
07/12/2006
Last updated
04/14/2011
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