Organization
JEANNE LAURETTE VANHOVELN
Active
Other names
Kelly Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE LAURETTE VANHOVELN RPH (OWNER)
(815) 889-4326
Entity
Organization
Contact information
Practice address
105 E JONES ST, MILFORD, IL 60953-1047
(815) 889-4326
(815) 889-4326
Mailing address
105 E JONES ST, PO BOX 127, MILFORD, IL 60953-1047
(815) 889-4326
(815) 889-4326
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054011335
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285809707
NPI
—
01
—
1428766
NCDCP
IL
01
—
1881735975
NPI
—
Enumeration date
02/09/2007
Last updated
06/25/2008
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