Organization
BODE DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL E BODE (PRESIDENT)
(618) 748-9253
Entity
Organization
Contact information
Practice address
803 1/2 N 1ST ST, VIENNA, IL 62995-1849
(618) 658-3784
(618) 658-4070
Mailing address
803 1/2 N 1ST ST, VIENNA, IL 62995-1849
(618) 658-3784
(618) 658-4070
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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