Individual
ERIK CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 N PARK AVE, HERRIN, IL 62948-3150
(618) 942-6900
Mailing address
212 N PARK AVE, HERRIN, IL 62948-3150
(618) 942-6900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
017094
KY
183500000X
Pharmacist
Primary
051286992
IL
183500000X
Pharmacist
38073
TN
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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