Individual
MRS. JULIE D. BICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
3114 VILLAGE OFFICE PL, CHAMPAIGN, IL 61822-7680
(217) 378-4807
(217) 378-4932
Mailing address
1517 BEAVER LAKE CT., MAHOMET, IL 61853
(217) 590-4664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-290449
IL
183500000X
Pharmacist
1-13713
KS
183500000X
Pharmacist
200303034
MO
183500000X
Pharmacist
26019201A
IN
183500000X
Pharmacist
RPH.03223536-2
OH
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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