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MICHELLES PHARMACY INC

Medical Equipment Supplier Yellow Pages

Gillespie, Illinois

Provider NPI: 1306953013

Organization Information:
Organization Name:  MICHELLES PHARMACY INC


Practice Location:
120 S MACOUPIN ST  GILLESPIE, IL 62033 US
Tel: 217-839-9901  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
IL054016652

Other Provider Identifiers:

IssuerNumberStateType
PK212050101
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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