Individual
MS. CAROL SUE OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 W 9TH ST, MOUNT CARMEL, IL 62863-2906
(618) 263-4543
(618) 262-5294
Mailing address
106 E LOCUST ST APT 6, FORT BRANCH, IN 47648-1456
(812) 753-3138
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
67006005A
IN
183700000X
Pharmacy Technician
Primary
—
IL
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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