Individual
ALISA WELBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15701 S 71ST CT DEPT OF, ORLAND PARK, IL 60462-6800
(708) 342-9910
(083) 429-9657
Mailing address
15701 S 71ST CT, ORLAND PARK, IL 60462-6800
(708) 342-9910
(708) 342-9965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298262
IL
183500000X
Pharmacist
26025804A
IN
Other
Enumeration date
09/11/2014
Last updated
04/05/2020
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