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Organization

BRANDT PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA COURTNEY (MGR)
(815) 568-7331
Entity
Organization

Contact information

Practice address
101 N STATE ST, MARENGO, IL 60152-2217
(815) 568-7242
(815) 568-0428
Mailing address
101 N STATE ST, MARENGO, IL 60152-2217
(815) 568-7242
(815) 568-0428

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
054004373
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2022580
PK
Enumeration date
05/09/2007
Last updated
06/01/2018
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