# JEANNE LAURETTE VANHOVELN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kelly Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881735975
- **Authorized official:** MS. JEANNE LAURETTE VANHOVELN RPH (OWNER)
- **Authorized official phone:** (815) 889-4326

## Contact information

- **Practice address:** 105 E JONES ST, MILFORD, IL 60953-1047
- **Practice address phone:** (815) 889-4326
- **Practice address fax:** (815) 889-4326
- **Mailing address:** 105 E JONES ST, PO BOX 127, MILFORD, IL 60953-1047
- **Mailing address phone:** (815) 889-4326
- **Mailing address fax:** (815) 889-4326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054011335 | IL | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 06/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1285809707 | NPI | — |
| 01 | — | 1428766 | NCDCP | IL |
| 01 | — | 1881735975 | NPI | — |