Organization
MOLINE DRUG INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SUNNER RPH (PRESIDENT)
(309) 762-0971
Entity
Organization
Contact information
Practice address
1610 15TH STREET PL, MOLINE, IL 61265-3959
(309) 762-0971
(309) 762-4722
Mailing address
1610 15TH STREET PL, MOLINE, IL 61265-3959
(309) 762-0971
(309) 762-4722
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.008409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1449188
NCPDP
IL
Enumeration date
02/09/2007
Last updated
03/07/2023
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