Organization
HARDIN COUNTY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA LEA ETIENNE PHARMD (OWNER)
(618) 285-6618
Entity
Organization
Contact information
Practice address
7 FERRELL RD, ROSICLARE, IL 62982-1006
(618) 285-6618
(618) 285-3147
Mailing address
7 FERRELL RD, ROSICLARE, IL 62982-1006
(618) 285-6618
(618) 285-3147
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054020393
IL
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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