Individual
CHRIS STIPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 661-5190
Mailing address
PO BOX 683, BLOOMINGTON, IL 61702-0683
(309) 684-1321
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
049.174199
IL
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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