Organization
METZGER DRUG STORE I, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A METZGER RPH (PHARMACIST/OWNER)
(217) 562-2011
Entity
Organization
Contact information
Practice address
28 E 2ND ST, PANA, IL 62557-1474
(217) 562-2011
(217) 562-2411
Mailing address
28 E 2ND ST, PO BOX 318, PANA, IL 62557-1474
(217) 562-2011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054008750
IL
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
05/05/2008
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