Organization
BODE DRUG INC
Active
Other names
BODE DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BODE (PRESIDENT)
(618) 748-9253
Entity
Organization
Contact information
Practice address
803 AND ONE HALF N FIRST ST, VIENNA, IL 62995
(618) 658-3784
(618) 658-4070
Mailing address
803 AND ONE HALF N FIRST ST, VIENNA, IL 62995
(618) 658-3784
(618) 658-4070
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054018126
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139137
PK
—
Enumeration date
07/01/2006
Last updated
04/17/2013
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