Individual
CARL E BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 MAIN ST, MOUND CITY, IL 62963-1163
(618) 748-9253
Mailing address
PO BOX 110, MOUND CITY, IL 62963-0110
(573) 270-5013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.029951
IL
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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