Organization
STOTLAR DRUG COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MENCKOWSKI (PHARMACIST/STORE MANAGER)
(618) 357-8781
Entity
Organization
Contact information
Practice address
1 N WALNUT ST, PINCKNEYVILLE, IL 62274-1025
(618) 357-8781
(618) 357-2249
Mailing address
1 N WALNUT ST, PINCKNEYVILLE, IL 62274-1025
(618) 357-8781
(618) 357-2249
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054-002164
IL
Other
Enumeration date
08/31/2006
Last updated
09/11/2024
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