IndividualActive
Kathleen Rouse
NPI 1386256972 · Pharmacist · Rantoul, IL
Provider details
- NPI number
- 1386256972
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 051299991 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
220 S Century Blvd
Rantoul, IL 61866-2309
Phone: (217) 892-8415
Approximate (ZIP-level) locationGet directions
Mailing address
220 S Century Blvd
Rantoul, IL 61866-2309
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2020-08-17
- Certified
- 2020-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.