Organization
PRN PHARMACIES LTD
Active
Other names
MEDICINE SHOPPE #503
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD LEDBETTER (VICE PRESIDENT)
(618) 252-5349
Entity
Organization
Contact information
Practice address
304 S COMMERCIAL ST, HARRISBURG, IL 62946-2108
(618) 252-5349
(618) 252-1395
Mailing address
304 S COMMERCIAL ST, HARRISBURG, IL 62946-2108
(618) 252-5349
(618) 252-1395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
203001032
IL
333600000X
Pharmacy
054007872
IL
3336C0003X
Community/Retail Pharmacy
Primary
054007872
IL
3336L0003X
Long Term Care Pharmacy
054007872
IL
Other
Enumeration date
08/30/2006
Last updated
11/06/2025
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