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Individual

MISS DHARA R DEDHIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
1799 DOUGLAS RD, MONTGOMERY, IL 60538-2170
(163) 089-6960
Mailing address
1799 DOUGLAS RD, MONTGOMERY, IL 60538-2170
(163) 089-6960

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293135
IL

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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