Individual
MERCEDES RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 EAST UNIVERISTY AVE, URBANA, IL 61801
(217) 344-7201
Mailing address
309 EAST UNIVERISTY AVE, URBANA, IL 61801
(217) 344-7201
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049229653
IL
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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