Individual
JENNIFER ERAMIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
315 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3778
(815) 404-2643
Mailing address
6834 W JONQUIL TER, NILES, IL 60714-3331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294921
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.294921
STATE LICENSE NUMBER
IL
Enumeration date
09/09/2011
Last updated
09/09/2011
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