Organization
MULCONREYS APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MULCONREY (OWNER)
(217) 323-4422
Entity
Organization
Contact information
Practice address
113 W 3RD ST, BEARDSTOWN, IL 62618-1142
(217) 323-4422
(217) 323-4480
Mailing address
PO BOX 11, BEARDSTOWN, IL 62618-0011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1443821
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
09/11/2025
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