Individual
EMILY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 STATE ST, ALTON, IL 62002-5150
(618) 466-8156
(618) 466-8193
Mailing address
2610 STATE ST, ALTON, IL 62002-5150
(618) 466-8156
(618) 466-8193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.291450
IL
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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