Individual
MRS. GRACE ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1050 N MAIN ST, CHATHAM, IL 62629-1078
(217) 483-5505
(217) 483-5529
Mailing address
1050 N MAIN ST, CHATHAM, IL 62629-1078
(217) 483-5505
(217) 483-5529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-292205
IL
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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