Organization
PRN PHARMACIES LTD
Active
Other names
Medicine Shoppe #1938
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD LEDBETTER (VICE PRESIDENT)
(618) 252-5349
Entity
Organization
Contact information
Practice address
101 E MAIN ST, RIDGWAY, IL 62979-1210
(618) 272-3841
(618) 272-3851
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
203001134
IL
3336C0003X
Community/Retail Pharmacy
Primary
054.016650
IL
3336L0003X
Long Term Care Pharmacy
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1426611
NCPDP
IL
Enumeration date
08/31/2006
Last updated
11/06/2025
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