Individual
DR. GINA L WOLFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1006 N KELLER DR, EFFINGHAM, IL 62401-1743
(217) 347-2560
(217) 347-3877
Mailing address
RR 1 BOX 59, SAINT ELMO, IL 62458-9720
(618) 349-0938
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051291685
IL
183500000X
Pharmacist
26021510A
IN
Other
Enumeration date
12/04/2010
Last updated
12/04/2010
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