Individual
ANDREW DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5211 BROADWAY ST, QUINCY, IL 62305-9122
(217) 228-2331
Mailing address
5211 BROADWAY ST, QUINCY, IL 62305-9122
(217) 228-2331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051305134
IL
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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