Organization
HIDEG PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAY PHARMD (PRESIDENT)
(618) 398-4400
Entity
Organization
Contact information
Practice address
8601 W MAIN ST STE 104, BELLEVILLE, IL 62223-1788
(618) 398-4400
(618) 398-4401
Mailing address
8601 W MAIN ST STE 104, BELLEVILLE, IL 62223-1788
(618) 398-4400
(618) 398-4401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
054009963
IL
3336L0003X
Long Term Care Pharmacy
054009963
IL
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1409893
NABP
—
Enumeration date
09/11/2006
Last updated
10/13/2025
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