Individual
KASEY CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 SHEPARD RD, NORMAL, IL 61761-6414
(309) 454-5478
Mailing address
1005 GERIKE WAY, BLOOMINGTON, IL 61704-8700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297437
IL
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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