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Individual

DR. HARRY MICHAEL ZOLLARS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2700 N CENTER ST, MARYVILLE, IL 62062-5624
(618) 288-7474
(618) 288-1860
Mailing address
PO BOX 160, MARYVILLE, IL 62062-0160
(618) 288-7474
(618) 288-1860

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296906
IL
183500000X
Pharmacist
2013032796
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051.296906
ILLINOIS BOARD OF PHARMACY
IL
Enumeration date
07/11/2014
Last updated
08/07/2020
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