Healthcare Provider Details

I. General information

NPI: 1033246483
Provider Name (Legal Business Name): PRN PHARMACIES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 US HIGHWAY 45 N
ELDORADO IL
62930-3768
US

IV. Provider business mailing address

1101 US HIGHWAY 45 N PO BOX 449
ELDORADO IL
62930-3768
US

V. Phone/Fax

Practice location:
  • Phone: 618-273-4941
  • Fax: 618-273-8124
Mailing address:
  • Phone: 618-273-4941
  • Fax: 618-273-8124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number54006692
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRAD LEDBETTER
Title or Position: VICE PRESIDENT
Credential:
Phone: 618-252-5349