Individual
JULIE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 N ILLINOIS ST, SWANSEA, IL 62226-2931
(618) 355-4441
Mailing address
1801 N ILLINOIS ST, SWANSEA, IL 62226-2931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051290260
IL
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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