Individual
ANGELA R POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
457 E 164TH PL, SOUTH HOLLAND, IL 60473-2206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051302529
IL
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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