Organization
MORELAND AND DEVITT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ALLEN STOLL (CHIEF OPERATIONS OFFICER)
(217) 322-3333
Entity
Organization
Contact information
Practice address
124 N CONGRESS ST, RUSHVILLE, IL 62681-1434
(217) 322-3333
(217) 322-6817
Mailing address
124 N CONGRESS ST, PO BOX 319, RUSHVILLE, IL 62681-1434
(217) 322-3333
(217) 322-6817
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54007553
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0253920001
MEDICARE RAILROAD
—
Enumeration date
08/30/2006
Last updated
05/25/2023
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