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Individual

ALEX CHARLES DOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
4701 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3416
(618) 310-2075
Mailing address
133 SUMMIT RDG, MARYVILLE, IL 62062-6477
(618) 977-5732

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012020932
MO

Other

Enumeration date
07/01/2012
Last updated
07/01/2012
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