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Individual

MRS. DANA SUE LIVINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
550 W SAINT LOUIS AVE, EAST ALTON, IL 62024-1044
(618) 258-0350
(618) 258-6025
Mailing address
310 DOERR ST, ROXANA, IL 62084-1114
(618) 251-9195

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-287430
IL
183500000X
Pharmacist
34475
TX

Other

Enumeration date
10/19/2011
Last updated
10/19/2011
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