Individual
JESSICA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N 5TH ST STE B, SPRINGFIELD, IL 62702-6366
(217) 331-6746
Mailing address
1150 N 5TH ST STE B, SPRINGFIELD, IL 62702-6366
(217) 331-6746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.288473
IL
Other
Enumeration date
10/12/2011
Last updated
12/20/2022
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