Individual
BAILEY DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 S 6TH ST, SPRINGFIELD, IL 62703-4024
(217) 788-5846
Mailing address
1806 LEE ST, SPRINGFIELD, IL 62703-4838
(217) 259-3477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051302421
IL
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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