Provider Demographics
NPI:1013147610
Name:DOT DRUG, INC.
Entity Type:Organization
Organization Name:DOT DRUG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-367-2385
Mailing Address - Street 1:117 W MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:IL
Mailing Address - Zip Code:61548-7000
Mailing Address - Country:US
Mailing Address - Phone:309-367-2385
Mailing Address - Fax:309-367-2159
Practice Address - Street 1:117 W MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:METAMORA
Practice Address - State:IL
Practice Address - Zip Code:61548-7000
Practice Address - Country:US
Practice Address - Phone:309-367-2385
Practice Address - Fax:309-367-2159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy