Individual
JOHNA VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5000 S 5TH AVE, BLDG 37 NW, HINES, IL 60141-3030
(708) 786-7858
Mailing address
815 VINEWOOD AVE, WILLOW SPRINGS, IL 60480-1460
(708) 839-1321
(708) 839-1561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051036112
IL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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