Individual
DANIELLE MARIE FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
220 S CENTURY BLVD, RANTOUL, IL 61866-2309
(217) 892-8415
Mailing address
407 W PARK ST APT 6, URBANA, IL 61801-1892
(217) 343-1700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.294297
IL
183500000X
Pharmacist
Primary
36335
TN
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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