Individual
BARRY ULM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 WABASH AVE, SPRINGFIELD, IL 62704-4203
(217) 787-0434
Mailing address
2500 WABASH AVE, SPRINGFIELD, IL 62704-4203
(217) 787-0434
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0510322766
IL
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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