Individual
DIANN H BRAMMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 W MCCORD ST, CENTRALIA, IL 62801-5648
(618) 533-1728
Mailing address
11518 STATE ROUTE 177, OKAWVILLE, IL 62271-1310
(618) 201-5369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.037067
IL
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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