Organization
GROCERIES OF SOUTHERN ILLINOIS, LLC.
Active
Other names
Freeburg Country Mart
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN HEURING (PHARMACY DIRECTOR)
(618) 539-3164
Entity
Organization
Contact information
Practice address
500 N STATE ST, FREEBURG, IL 62243-1206
(618) 539-3164
(618) 539-5014
Mailing address
500 N STATE ST, FREEBURG, IL 62243-1206
(618) 539-3164
(618) 539-5014
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054020849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023267
PK
—
05
—
371119006002
—
IL
Enumeration date
10/13/2006
Last updated
07/22/2025
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