Individual
JENNIFER RAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 BELLEVILLE CROSSING ST, BELLEVILLE, IL 62226-3104
(618) 310-1902
(618) 310-1912
Mailing address
5601 BELLEVILLE CROSSING ST, BELLEVILLE, IL 62226-3104
(618) 310-1902
(618) 310-1912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293416
IL
183500000X
Pharmacist
2009018210
MO
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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