Individual
HEATHER WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1402 N MARKET ST, MONTICELLO, IL 61856-8002
(217) 762-3377
(217) 762-4499
Mailing address
1402 N MARKET ST, MONTICELLO, IL 61856-8002
(217) 762-3377
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049.130415
IL
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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