Individual
JILL DYRDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
555 N MAIN ST, CANTON, IL 61520-1829
(309) 674-7610
Mailing address
555 N MAIN ST, CANTON, IL 61520-1829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298924
IL
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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