Organization
PAMIDA STORES OPERATING CO LLC
Active
Other names
Pamida Pharmacy #681
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HARLOW (CEO/PRESIDENT)
(402) 596-7206
Entity
Organization
Contact information
Practice address
113 WEST 3RD ST, BEARDSTOWN, IL 62618
(217) 323-4422
(217) 323-4480
Mailing address
113 WEST 3RD ST, BEARDSTOWN, IL 62618
(217) 323-4422
(217) 323-4480
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
10/01/2010
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