Individual
COLTON W SHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 528-8314
(773) 528-9274
Mailing address
2620 N WILTON AVE APT 2, CHICAGO, IL 60614-2784
(217) 725-3892
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049.246474
IL
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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