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Endris Pharmacy Inc

Endris Pharmacy Inc is a health care provider in Pana, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 109 S Locust St, Pana, IL 62557-1429, US
Practice Location Phone217-562-2232
Practice Location Fax217-562-2485
Legal Business NameENDRIS PHARMACY INC
NPI ?1932213907
Entity TypeOrganization
Enumeration Date ? Aug 18, 2006
Last Update Date ? Apr 20, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Endris Pharmacy Inc

SpecialtySpecializationLicenseLicense State
PharmacyCommunity/Retail Pharmacy
Pharmacy Illinois

legacy-id-icon Legacy Provider IDs of Endris Pharmacy Inc

Provider IdIssuer StateIssuer TypeIssuer
1401417OtherOTHER ID NUMBER
1401417OtherOTHER ID NUMBER-COMMERCIAL NUMBER
=========001IllinoisMedicaid

official-icon Authorized Official of Endris Pharmacy Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Endris Pharmacy Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Harold Endris (RPH)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number217-562-2232