Individual
BETHANY RUGGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 N MARKET ST, SPARTA, IL 62286-2302
(618) 443-2436
Mailing address
1410 N MARKET ST, SPARTA, IL 62286-2302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295924
IL
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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