Individual
COLE LUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 PEORIA ST, WASHINGTON, IL 61571-2350
(309) 444-2301
Mailing address
401 S OKLAHOMA AVE, MORTON, IL 61550-9013
(309) 444-8897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051307291
IL
183700000X
Pharmacy Technician
049317949
IL
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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