Organization
MEDI-RX PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EMMETT MCLACHLAN RPH (PRESIDENT/OWNER)
(815) 433-2255
Entity
Organization
Contact information
Practice address
411 W MAIN ST, OTTAWA, IL 61350-2801
(815) 433-2255
(815) 434-0391
Mailing address
411 W MAIN ST, OTTAWA, IL 61350-2801
(815) 433-2255
(815) 434-0391
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407281
NABP INS NUMBER
—
Enumeration date
05/15/2006
Last updated
03/07/2023
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