Individual
KARLA REBSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5890 N BELT W, BELLEVILLE, IL 62226-4618
(618) 277-4440
Mailing address
5890 NORTH BELT WEST, BELLEVILLE, IL 62226
(618) 277-4440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288763
IL
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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