Bethany Ruggles
Pharmacist in Sparta, IL. Individual provider (NPI-1).
NPI number1346799178
StatusActive
Last updated in NPPESSep 21, 2016
Details
- NPI
- 1346799178
- Entity type
- Individual (NPI-1)
- Name
- Bethany Ruggles
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2016
- Last updated
- Sep 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051295924 | IL | Yes |
Practice location
1410 N Market StSparta, IL 62286-2302
Phone 618-443-2436
Mailing address
1410 N Market StSparta, IL 62286-2302
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All 11 Pharmacist providers in Sparta · All 133 providers in Sparta
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