Individual
MS. ALICE S DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
401 N MAIN ST, GLEN ELLYN, IL 60137-5101
(630) 469-1414
Mailing address
64 KENILWORTH AVE, GLEN ELLYN, IL 60137-5625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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