Individual
MR. JAMES ALLEN BRAZZALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
119 MONNA ST, SUGAR GROVE, IL 60554-5424
(630) 466-9505
Mailing address
119 MONNA ST, SUGAR GROVE, IL 60554-5424
(630) 466-9505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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