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BRANDT PHARMACY INC NPI 1881808137


NPI Information

NPI: 1881808137
Provider Name: BRANDT PHARMACY INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
101 N STATE ST
MARENGO, IL
ZIP 60152
Phone: (815) 568-7242
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BRANDT PHARMACY INC is a community/retail pharmacy pharmacy in Marengo, IL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BRANDT PHARMACY INC NPI is 1881808137. The provider is registered as an organization entity type.

The provider's business location address is:

101 N STATE ST
MARENGO, IL
ZIP 60152-217
Phone: (815) 568-7242
Fax: (815) 568-0428

The provider's authorized official is Brenda Courtney .
The authorized official title is Mgr and has the following contact phone number (815) 568-7331.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 6/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy054004373ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12022580OTHERPK
2=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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