Individual
JOE HAYDEN RAY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 EDWARDSVILLE RD, TROY, IL 62294-1336
(618) 667-4267
Mailing address
640 EDWARDSVILLE RD, TROY, IL 62294-1336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.301490
IL
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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