Individual
MISS CARA L PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2285
Mailing address
10922 N NORTHTRAIL DR, DUNLAP, IL 61525-9287
(309) 635-0737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51289935
IL
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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