Individual
DR. AMANDA CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
303 S STATE ST, JERSEYVILLE, IL 62052-1852
(618) 498-1144
(618) 509-4974
Mailing address
303 S STATE ST, JERSEYVILLE, IL 62052-1852
(618) 498-1144
(618) 509-4974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299662
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051299662
IL PHARMACIST LICENSE NUMBER
IL
Enumeration date
11/29/2020
Last updated
11/29/2020
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