Bethany Ruggles

NPI #1346799178 in Sparta, Illinois

Provider Information

NPI Number: 1346799178
Entity Type: Individual
Name: Bethany Ruggles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 21, 2016
Last Updated: Sep 21, 2016

Practice Location

Address: 1410 N MARKET ST
City: Sparta
State: Illinois
ZIP Code: 62286-2302
Phone: (618) 443-2436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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