Individual
EDWARD MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
316 W RIDGEMONT RD, PEORIA, IL 61614-7222
(309) 682-0197
Mailing address
316 W RIDGEMONT RD, PEORIA, IL 61614-7222
(309) 682-0197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-026244
IL
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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