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Organization
SIMPLE RX SOLUTIONS INC
Active
Organization
SIMPLE RX SOLUTIONS INC
Active
Other names
AMBOY HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUPESH MANEK B.SC.PHARM (PHARMACIST IN CHARGE)
(630) 926-1844
Entity
Organization
Contact information
Practice address
221 E MAIN ST, AMBOY, IL 61310-1439
(815) 857-7005
(815) 857-7119
Mailing address
221 E MAIN ST, AMBOY, IL 61310-1439
(815) 857-7005
(815) 857-7119
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054.017964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135900
PK
—
Enumeration date
04/23/2012
Last updated
02/21/2017
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