Provider Demographics
NPI:1386826295
Name:FAMILY DISCOUNT DRUGS INC
Entity type:Organization
Organization Name:FAMILY DISCOUNT DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-246-2770
Mailing Address - Street 1:6824 BRIMFIELD JUBILEE RD
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:IL
Mailing Address - Zip Code:61525-9722
Mailing Address - Country:US
Mailing Address - Phone:309-246-2770
Mailing Address - Fax:309-246-2754
Practice Address - Street 1:405 5TH ST
Practice Address - Street 2:
Practice Address - City:LACON
Practice Address - State:IL
Practice Address - Zip Code:61540-1211
Practice Address - Country:US
Practice Address - Phone:309-246-2770
Practice Address - Fax:309-246-2754
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY DISCOUNT DRUGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-03
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019911874001Medicaid
0254460001Medicare NSC