Organization
BOND COUNTY PHARMACY LLC
Active
Other names
Bond County Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BORNTREGER RPH (PRESIDENT)
(618) 690-5000
Entity
Organization
Contact information
Practice address
224A E HARRIS AVE, GREENVILLE, IL 62246-2150
(618) 690-5000
(618) 703-1671
Mailing address
224A E HARRIS AVE, GREENVILLE, IL 62246
(618) 690-5000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1496694
NCPDP
—
01
—
54021820
PHARMACY LICENSE
IL
Enumeration date
12/17/2020
Last updated
03/07/2023
Update your record
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