Individual
BRENDA L RUEHRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4609 W MAIN ST, BELLEVILLE, IL 62226-5208
(518) 355-4851
(618) 222-9467
Mailing address
4609 W MAIN ST, BELLEVILLE, IL 62226-5208
(618) 355-4851
(618) 222-9467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-040990
IL
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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