Individual
DR. JULIE KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
(217) 479-5727
Mailing address
340 E ILLINI ST, VIRGINIA, IL 62691-1202
(217) 248-8263
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051040219
IL
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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