Individual
BETH KEITH-MUDGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
215 E GRANTWAY ST, DU QUOIN, IL 62832-1923
(618) 542-2488
Mailing address
215 E GRANTWAY ST, DU QUOIN, IL 62832-1923
(618) 542-2488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.287795
IL
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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