Individual
JOAN HALWACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 N 64TH ST STE 6, BELLEVILLE, IL 62223-3809
(618) 398-5127
Mailing address
12 N 64TH ST STE 6, BELLEVILLE, IL 62223-3809
(618) 398-5127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037429
IL
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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