Individual
HANNAH MARIE BRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-2263
Mailing address
PO BOX 7005, QUINCY, IL 62305-7005
(217) 223-1200
(217) 223-2263
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049239564
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049239564
PHARMACY TECHNICIAN LICENSE
IL
01
—
30065989
PHARMACY TECHNICIAN CERTIFICATION
—
Enumeration date
07/16/2021
Last updated
07/16/2021
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