Individual
CAROL LYNN HARCAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 CLOVER CT, GRAND RIDGE, IL 61325-9795
(815) 579-0366
Mailing address
120 E MAIN ST, STREATOR, IL 61364-2901
(815) 673-2439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051035264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362127039438
—
IL
Enumeration date
08/26/2011
Last updated
08/26/2011
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