Individual
MR. GARY J BANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
905 GRAND AVE, JOHNSTON CITY, IL 62951-1219
(618) 983-8272
(618) 983-7871
Mailing address
905 GRAND AVE, JOHNSTON CITY, IL 62951-1219
(618) 983-8272
(618) 983-7871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371243554001
—
IL
Enumeration date
11/09/2006
Last updated
07/08/2007
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