Organization
DOT DRUGS INC
Active
Other names
Ellis Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARLIN WEEKLEY (RPH)
(309) 367-9408
Entity
Organization
Contact information
Practice address
142 INDIAN SPRINGS DR, SANDWICH, IL 60548-1902
(815) 786-2300
(815) 786-2311
Mailing address
142 INDIAN SPRINGS DR, SANDWICH, IL 60548-1902
(815) 786-2300
(815) 786-2311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054016634
IL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1483116
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/19/2009
Last updated
05/27/2010
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