Organization
FEDDCO INC
Active
Other names
MedPlus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FIDELIS OKEKE (PRESIDENT)
(217) 403-1371
Entity
Organization
Contact information
Practice address
111 N STATE ST STE C, WESTVILLE, IL 61883-1461
(217) 267-8077
(217) 267-6082
Mailing address
111 N STATE ST STE C, WESTVILLE, IL 61883-1461
(217) 442-1100
(217) 442-1101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054018112
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137612
PK
—
Enumeration date
05/09/2006
Last updated
02/16/2017
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