Individual
MR. INDERJIT S RAKALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
622 N LOGAN AVE, DANVILLE, IL 61832-4362
(217) 477-5712
(217) 477-5709
Mailing address
622 N LOGAN AVE, DANVILLE, IL 61832-4362
(217) 477-5712
(217) 477-5709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051034868
IL
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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