Individual
MRS. KELLEY MARIE MESSMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2106 W TOWNLINE RD, PEORIA, IL 61615-1547
(309) 692-2826
Mailing address
5425 N PROSPECT RD, PEORIA, IL 61614-5274
(309) 688-9081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
043139
MO
183500000X
Pharmacist
Primary
051038751
IL
Other
Enumeration date
10/01/2011
Last updated
10/01/2011
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