Individual
JULIE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N MAIN ST, MONMOUTH, IL 61462-1267
(309) 734-6644
Mailing address
600 N MAIN ST, MONMOUTH, IL 61462-1267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294493
IL
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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