Bode Drug, Inc
Organization Active NPI Community/Retail Pharmacy · Cairo, IL
NPI 1093895484 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1093895484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 54-11999 (IL)
- Legal business name
- BODE DRUG, INC
- Practice address
- 1201 Washington Ave
Cairo, IL 62914-1808 - Phone
- (618) 734-4321
- Fax
- (618) 734-4525
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Carl E Bode, RPH
- Title
- President
- Phone
- (618) 734-4321
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Bode Drug Inc
Locations
1201 Washington Ave
Cairo, IL 62914
Phone (618) 734-4321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 54-11999 | IL | Yes |
Addresses
Primary practice location
1201 Washington Ave
Cairo, IL 62914-1808
Mailing address
1201 Washington Ave
Cairo, IL 62914-1808
Phone (618) 734-4321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1446625 | Other | IL | NABP |
Other providers in Cairo, IL
- Aperion Care Cairo LLC
- Arrowleaf
- Arrowleaf
- Janeice Bailey
- Harlie Bivens
- Rebekah B Bogan
- Erin Brown
- Rashelle Brown
- Cairo School District Number One Alexander Co.
- Darlene Childress
All providers in Cairo, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.