Organization
HARDIN COUNTY DISCOUNT PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILBORN R.PH. (PRESIDENT)
(618) 285-6618
Entity
Organization
Contact information
Practice address
7 FERRELL RD, ROSICLARE, IL 62982-0037
(618) 285-6618
(618) 285-3147
Mailing address
PO BOX 37, ROSICLARE, IL 62982-0037
(618) 285-6618
(618) 285-3147
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054009291
IL
Other
Enumeration date
11/28/2007
Last updated
05/07/2008
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