Individual
DR. ANDREW MICHAEL RAKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 GREEN MOUNT CROSSING DR, O FALLON, IL 62269-7277
(618) 628-3333
Mailing address
5169 STACEY DR, GRANITE CITY, IL 62040-2675
(217) 994-6848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295793
IL
183500000X
Pharmacist
2012025434
MO
Other
Enumeration date
07/23/2012
Last updated
07/25/2012
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