NPI | 1063519809 |
---|---|
Doing Business As | STUTS DRUG STORE |
Entity Type | Organization |
Authorized Contact | DAVID RELANDER Owner/Rph 309-582-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.009560) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-20 |
Last Update Date | 2016-03-31 |