Rupert, Marie
Rupert, Marie is an individual health care provider with primary practice located at 201 N University Street , Normal IL 61790. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Rupert, Marie can be contacted via phone (309) 438-8713.Contact Information
Primary practice address
201 N University Street
Normal IL 61790
Phone: (309) 438-8713
Fax: (309) 438-7569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051.292018 | Illinois |
Profile Details
| NPI number | 1023391331 |
|---|---|
| LBN Legal business name | Rupert, Marie |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2011 |
| Last updated | Jan 14th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023391331 | NPPES |
| Illinois | Other | IL051.292018 | IL PHARMACY LICENSE NO. |
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