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Individual

KAYLA FAYE VECERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 N GIANT CITY RD, CARBONDALE, IL 62902-6417
(618) 363-4142
Mailing address
100 N PARK ST, HURST, IL 62949-1053

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051302972
IL

Other

Enumeration date
10/22/2020
Last updated
10/22/2020
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