Individual
MRS. KANDY MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1344 IL HIGHWAY 1, CARMI, IL 62821
(618) 382-5838
(618) 382-4008
Mailing address
1344 ILLINOIS HIGHWAY 1, CARMI, IL 62821
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037718
IL
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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