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Individual

ALEXANDER PAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
220 S CENTURY BLVD, RANTOUL, IL 61866-2309
(217) 892-8175
(217) 892-8702
Mailing address
220 S CENTURY BLVD, RANTOUL, IL 61866-2309
(217) 892-8175
(217) 892-8702

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298286
IL

Other

Enumeration date
01/01/2015
Last updated
01/01/2015
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