Individual
JESSICA LYNN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2250 LINCOLN AVE, CHARLESTON, IL 61920-3028
(217) 345-9458
Mailing address
20400 STATE HIGHWAY 16, ASHMORE, IL 61912-9142
(217) 276-5612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296657
IL
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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