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General NPI Number Information
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NPI Number | 1033246483
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Entity Type | Organization
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Legal Business Name | PRN PHARMACIES LTD
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1101 US HIGHWAY 45 N
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City | ELDORADO
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State | IL
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Zip | 62930-3768
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Country | US
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Telephone | 618-273-4941
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Fax | 618-273-8124
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Provider Business Mailing Address
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Address Line | 1101 US HIGHWAY 45 N PO BOX 449
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City | ELDORADO
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State | IL
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Zip | 62930-3768
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Country | US
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Telephone | 618-273-4941
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Fax | 618-273-8124
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BRAD LEDBETTER
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Credential |
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Telephone | 618-252-5349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 54006692
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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