Individual
C ARLA AVIS VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S, PHARM D
Contact information
Practice address
17355 TORRENCE AVE, LANSING, IL 60438-1018
(708) 474-9870
(708) 474-4853
Mailing address
17355 TORRENCE AVE, LANSING, IL 60438-1018
(708) 474-9870
(708) 474-4853
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.034423
IL
183500000X
Pharmacist
Primary
26023087A
IN
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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