Individual
ALLISON RENEE WASHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 W HIGHWAY 50, O FALLON, IL 62269-1619
(618) 632-9381
Mailing address
1530 W HIGHWAY 50, O FALLON, IL 62269-1619
(618) 632-9381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.303197
IL
183500000X
Pharmacist
2020024553
MO
Other
Enumeration date
11/01/2020
Last updated
06/09/2025
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