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Organization

B & D PHARMACY INC

Active
Other names
fisher pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BAILEY (CHIEF OPERATIONS OFFICER)
(618) 332-2500
Entity
Organization

Contact information

Practice address
2007 CAMP JACKSON RD, CAHOKIA, IL 62206-2544
(618) 332-2500
(618) 332-2124
Mailing address
2007 CAMP JACKSON RD, CAHOKIA, IL 62206-2544
(618) 332-2500
(618) 332-2124

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
054013555
IL
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1408942
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
08/10/2006
Last updated
03/12/2012
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