Individual
DR. ERIC PATRICK CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
505 W RAAB RD, NORMAL, IL 61761-1007
(309) 454-7347
(309) 454-3915
Mailing address
55 YUKON CIR, BLOOMINGTON, IL 61705-8824
(847) 867-5365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.292476
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362127039410
—
IL
Enumeration date
09/19/2011
Last updated
09/19/2011
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