Individual
ELIZABETH BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 N UNIVERSITY ST, PEORIA, IL 61604-1360
(309) 686-1933
Mailing address
3524 N UNIVERSITY ST, PEORIA, IL 61604-1360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051301022
IL
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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