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.
|Practice Location||109 S Locust St, Pana, IL 62557-1429, US|
|Practice Location Phone||217-562-2232|
|Practice Location Fax||217-562-2485|
|Legal Business Name||ENDRIS PHARMACY INC|
|Enumeration Date ?||Aug 18, 2006|
|Last Update Date ?||Apr 20, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Provider Id||Issuer State||Issuer Type||Issuer|
|1401417||Other||OTHER ID NUMBER|
|1401417||Other||OTHER ID NUMBER-COMMERCIAL NUMBER|
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/Position||OWNER|
|Authorized Official Phone Number||217-562-2232|