Organization
HARRY'S LTC PHARMACY
Active
Other names
Harry's Pharmacy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BORNTREGER (PRESIDENT)
(217) 438-6141
Entity
Organization
Contact information
Practice address
620 E JACKSON ST, AUBURN, IL 62615-9784
(217) 438-6141
(217) 438-3447
Mailing address
620 E JACKSON ST, AUBURN, IL 62615-9784
(217) 438-6141
(217) 438-3447
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
054011122
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176447
PK
—
Enumeration date
03/13/2018
Last updated
07/30/2025
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