Individual
BRIA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 BROADWAY ST, MOUNT VERNON, IL 62864-2342
(618) 242-2074
Mailing address
16147 N SQUIRE LN, MOUNT VERNON, IL 62864-7565
(618) 231-4431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295727
IL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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