Individual
MRS. ELIZABETH DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2909 COURT ST, PEKIN, IL 61554-6203
(309) 347-5904
(309) 347-6655
Mailing address
2909 COURT ST, PEKIN, IL 61554-6203
(309) 347-5904
(309) 347-6655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-040432
IL
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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