Individual
AUDRA KEEPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1325 W 9TH ST, MOUNT CARMEL, IL 62863-2906
(618) 263-9101
(618) 263-9104
Mailing address
1325 W 9TH ST, MOUNT CARMEL, IL 62863-2906
(618) 263-9101
(618) 263-9104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298683
IL
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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