Individual
MS. HALLEY SIEDRA CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
625 W PERSHING RD, DECATUR, IL 62526-1632
(217) 875-2751
(217) 875-6631
Mailing address
625 W PERSHING RD, DECATUR, IL 62526-1632
(217) 875-2751
(217) 875-6631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294448
IL
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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