Individual
MR. DONALD EDWARD MAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 E FERGUSON AVE, WOOD RIVER, IL 62095-2146
(618) 254-6223
Mailing address
5910 STATE ROUTE 4, ALHAMBRA, IL 62001-1910
(618) 488-7126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
09/23/2006
Last updated
07/08/2007
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