Individual
TONYA MARIE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 661-5190
Mailing address
5 LORETTA LN, BLOOMINGTON, IL 61704-7030
(309) 827-4291
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
49121850
IL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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