Organization Name: | HUDSON PHARMACY GROUP INC |
NPI Number: | 1639223084 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW HUDSON (OWNER) |
Mailing Address: | 108 N Market St Paxton |
State: | IL US |
Postal Code: | 609571220 |
Phone Number: | 2173794858 |
Fax Number: | 2173793917 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 10/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |