Individual
KATIE LEANN IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1401 N 8TH ST, VANDALIA, IL 62471-1028
(618) 283-0196
(618) 283-9150
Mailing address
643 E 1250 AVE, VANDALIA, IL 62471-4044
(618) 780-9256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295212
IL
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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