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
—
—
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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