Richard Douglas Simonson
Pharmacist in Ottawa, IL. Individual provider (NPI-1).
NPI number1164068342
StatusActive
Last updated in NPPESNov 21, 2019
Details
- NPI
- 1164068342
- Entity type
- Individual (NPI-1)
- Name
- Richard Douglas Simonson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2019
- Last updated
- Nov 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051033841 | IL | Yes |
Practice location
2701 Columbus StOttawa, IL 61350-1005
Phone 815-434-1395 · Fax 815-434-1396
Mailing address
2701 Columbus StOttawa, IL 61350-1005
Phone 815-434-1395 · Fax 815-434-1396
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