Organization
STUTS DRUG STORE INC
Active
Other names
STUTS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RELANDER RPH (OWNER/RPH)
(309) 582-5151
Entity
Organization
Contact information
Practice address
105 S COLLEGE AVE, ALEDO, IL 61231-1630
(309) 582-5151
(309) 582-3071
Mailing address
105 S COLLEGE AVE, ALEDO, IL 61231-1630
(309) 582-5151
(309) 582-3071
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.009560
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022672
PK
—
Enumeration date
09/20/2006
Last updated
03/31/2016
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