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BRANDT PHARMACY INC

Medical Equipment Supplier Yellow Pages

Marengo, Illinois

Provider NPI: 1881808137

Organization Information:
Organization Name:  BRANDT PHARMACY INC


Practice Location:
101 N STATE ST  MARENGO, IL 60152 US
Tel: 815-568-7242  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
IL054004373

Other Provider Identifiers:

IssuerNumberStateType
PK202258001
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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