Individual
MR. BRIAN JAMES HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
515 CARLYLE AVE, BELLEVILLE, IL 62221-6223
(618) 222-1827
(618) 222-1834
Mailing address
515 CARLYLE AVE, BELLEVILLE, IL 62221-6223
(618) 222-1827
(618) 222-1834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.288493
IL
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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