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Organization

ELLET PHARMACY INC

Active
Other names
MEDICAP PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA S PATTON (OWNER)
(618) 252-2742
Entity
Organization

Contact information

Practice address
501 E SLOAN ST, HARRISBURG, IL 62946-2335
(618) 252-2742
(618) 252-8114
Mailing address
501 E SLOAN ST, HARRISBURG, IL 62946-2335

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
54013560
IL
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1459115
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
11/15/2006
Last updated
03/07/2023
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