Individual
ALAINA CHADBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 CAMP JACKSON RD, CAHOKIA, IL 62206-2537
(618) 332-1711
Mailing address
4982 WINDEMERE DR, IMPERIAL, MO 63052-1458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015302479
IL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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