Organization
FOX FAMILY PHARMACY INC
Active
Other names
FOX FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FOX (OWNER PHARMACIST)
(618) 576-2619
Entity
Organization
Contact information
Practice address
110 N COUNTY RD., HARDIN, IL 62047
(618) 576-2619
(618) 576-2275
Mailing address
PO BOX 190, HARDIN, IL 62047-0190
(618) 576-2619
(618) 576-2275
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054014813
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023132
PK
—
Enumeration date
09/06/2006
Last updated
06/21/2016
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