Organization
BODE DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL E BODE RPH (PRESIDENT)
(618) 748-9253
Entity
Organization
Contact information
Practice address
211 MAIN ST, MOUND CITY, IL 62963-1163
(618) 748-9253
(618) 748-9850
Mailing address
PO BOX 110, MOUND CITY, IL 62963-0110
(618) 748-9253
(618) 748-9850
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54-13231
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-38820
NABP
IL
Enumeration date
10/17/2006
Last updated
04/20/2008
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