Individual
MR. JAMES V. PAVLACIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5216 N MERRIMAC AVE, PEORIA, IL 61614-4660
(309) 671-5151
Mailing address
5216 N MERRIMAC AVE, PEORIA, IL 61614-4660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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