Individual
JOAN M POLWORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
801 BRAIDWOOD CT, COLLINSVILLE, IL 62234
(618) 345-8643
Mailing address
801 BRAIDWOOD CT, COLLINSVILLE, IL 62234-1545
(618) 345-8643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
042676
MO
183500000X
Pharmacist
Primary
051036802
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051036802
PHARMACIST LICENSE
IL
Enumeration date
12/20/2012
Last updated
07/15/2018
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