Organization
HODELS-RUBENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN SAMUEL JR. (PHARMACIST/OWNER)
(815) 968-5779
Entity
Organization
Contact information
Practice address
1029 S MAIN ST, ROCKFORD, IL 61101-1417
(815) 968-5779
Mailing address
1029 S MAIN ST, ROCKFORD, IL 61101-1417
(815) 968-5779
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054006670
IL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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