Individual
CAMI BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9554 E LINCOLN HWY, FRANKFORT, IL 60423-1892
(815) 806-0438
Mailing address
22932 LAKEVIEW ESTATES BLVD, FRANKFORT, IL 60423-8528
(815) 464-2309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051287007
IL
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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