Individual
DR. DALLAS CLAYTON BASINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 297-9627
Mailing address
1900 GREENHILL RD, ELDORADO, IL 62930-3319
(618) 926-4677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.295166
IL
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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