Individual
BRYCE LABORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 WINDSONG DR, WASHINGTON, IL 61571-9443
(309) 706-4367
Mailing address
200 WINDSONG DR, WASHINGTON, IL 61571-9443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289335
IL
183500000X
Pharmacist
121654
MN
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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