Individual
AYISHA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1057 E MAIN ST, GALESBURG, IL 61401-3973
(309) 341-2446
Mailing address
8015 S CARPENTER ST APT 1, CHICAGO, IL 60620-3140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051306300
IL
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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