Individual
ANN SCRIVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W 10TH ST, METROPOLIS, IL 62960-1502
(618) 534-4819
Mailing address
288 NEW HOME RD, STONEFORT, IL 62987-1470
(618) 713-5766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051035785
IL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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