Individual
DR. JAYME SUE NOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
201 W WASHINGTON ST, EAST PEORIA, IL 61611-2416
(309) 427-2931
(309) 427-2932
Mailing address
201 W WASHINGTON ST, EAST PEORIA, IL 61611-2416
(309) 427-2931
(309) 427-2932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294923
IL
183500000X
Pharmacist
2010034683
MO
Other
Enumeration date
12/29/2012
Last updated
12/29/2012
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