Individual
COURTNEY NORTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 COLUMBIA LAKES DR APT 3D, COLUMBIA, IL 62236-2616
(618) 402-7181
Mailing address
2621 COLUMBIA LAKES DR APT 3D, COLUMBIA, IL 62236-2616
(618) 402-7181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.304912
IL
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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