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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054016081
IL
3336L0003X
Long Term Care Pharmacy
—
—
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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