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NPI Code Detail

MEDICARE: PRN PHARMACIES LTD

MEDICARE: PRN PHARMACIES LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies203001133IL
3333600000XPharmacy
43336C0003XCommunity/Retail Pharmacy054-016651IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11452616OTHERILNCPDP #

General Provider Information

NPI Number : 1568572774
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRN PHARMACIES LTD
Provider Business Mailing Address
First Line : 304 S COMMERCIAL ST
Second Line :
City : HARRISBURG
State : IL
Zip : 62946-2108
Country : US
Telephone Number : 618-252-5349
Fax Number : 618-252-1395
Provider Business Practice Location Address
First Line : 1315 W MAIN ST
Second Line :
City : MARION
State : IL
Zip : 62959-1139
Country : US
Telephone Number : 618-997-1393
Fax Number : 618-997-5448
Authorized Official
Title or Position : VICE PRESIDENT
Name : BRAD LEDBETTER
Credential :
Telephone Number : 618-252-5349
Provider Enumeration Date : 08/30/2006
Last Update Date : 11/06/2025

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Directions to “PRN PHARMACIES LTD ” Practice Location

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