Individual
LANA MALKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
REA CLINIC PHARMACY, 4241 HIGHWAY 14 WEST, CHRISTOPHER, IL 62822
(618) 724-2136
(618) 724-2571
Mailing address
REA CLINIC, PO BOX 155, CHRISTOPHER, IL 62822
(618) 724-2401
(618) 724-2511
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
IL
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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