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Individual

CHRIS MILLMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3307 KIRKWOOD RD, BLOOMINGTON, IL 61704-7555
(309) 661-0569
Mailing address
1525 N VETERANS PKWY, BLOOMINGTON, IL 61704-0904

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051285892
IL

Other

Enumeration date
10/06/2011
Last updated
09/04/2013
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