Individual
EMILY LAUREN MAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6505 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-2001
(618) 394-8744
Mailing address
15556 KANALLAKAN CT, GODFREY, IL 62035-4218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051306413
IL
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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