Individual
MRS. JULIA ANN LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
110 CARLYLE PLAZA DR, BELLEVILLE, IL 62221-6678
(618) 234-8097
(618) 234-8199
Mailing address
110 CARLYLE PLAZA DR, BELLEVILLE, IL 62221-6678
(618) 234-8097
(618) 234-8199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.291503
IL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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