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Organization
HUDSON PHARMACY GROUP INC
Active
Organization
HUDSON PHARMACY GROUP INC
Active
Other names
HUDSON DRUG SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HUDSON BS (OWNER)
(217) 379-4858
Entity
Organization
Contact information
Practice address
108 N MARKET ST, PAXTON, IL 60957-1220
(217) 379-4858
(217) 379-3917
Mailing address
PO BOX 70, PAXTON, IL 60957-0070
(217) 379-4858
(217) 379-3917
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054016081
IL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022759
PK
—
Enumeration date
01/23/2007
Last updated
10/15/2015
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