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Individual

DR. ACQUELLA BRIGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3153 183RD ST, HOMEWOOD, IL 60430-2806
(708) 799-8411
Mailing address
639 E GLENWOOD LANSING RD APT 1B, GLENWOOD, IL 60425-1955
(773) 595-5088

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051305287
IL

Other

Enumeration date
02/06/2023
Last updated
02/06/2023
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