Organization
BANDYS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SCOTT BANDY (OWNER RPH)
(618) 548-4000
Entity
Organization
Contact information
Practice address
1413 W WHITTAKER ST, SALEM, IL 62881-2015
(618) 548-4000
(618) 548-3784
Mailing address
1413 W WHITTAKER ST, P O BOX 546, SALEM, IL 62881-2015
(618) 548-4000
(618) 548-3784
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054008418
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
05/05/2006
Last updated
09/30/2024
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