Individual
DONALD ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 W CARL SANDBURG DR, GALESBURG, IL 61401-1387
(309) 344-3088
(309) 344-3154
Mailing address
1150 W CARL SANDBURG DR, GALESBURG, IL 61401-1387
(309) 344-3088
(309) 344-3154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-039135
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801827969
NPI
IL
Enumeration date
04/12/2016
Last updated
04/12/2016
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