Organization
PRN PHARMACIES LTD
Active
Other names
MEDICINE SHOPPE #0751
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD LEDBETTER (VICE PRESIDENT)
(618) 252-5349
Entity
Organization
Contact information
Practice address
1315 W MAIN ST, MARION, IL 62959-1139
(618) 997-1393
(618) 997-5448
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
203001133
IL
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054-016651
IL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1452616
NCPDP #
IL
Enumeration date
08/30/2006
Last updated
11/06/2025
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