Search › Illinois › Pharmacist
Richard Simonson
NPI 1164068342 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2701 Columbus St
Ottawa, IL 61350 - Phone
- (815) 434-1395
- Fax
- (815) 434-1396
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois