Individual
MR. BRIAN KEITH TATRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3070 N WATER ST, DECATUR, IL 62526-1991
(217) 877-1327
(309) 877-1328
Mailing address
3070 N WATER ST, DECATUR, IL 62526-1991
(217) 877-1327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-037717
IL
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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