Individual
ELLIOTT MUMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
608 ROLLIE MOORE DR, HARRISBURG, IL 62946-2351
(618) 252-6150
Mailing address
608 ROLLIE MOORE DR, HARRISBURG, IL 62946-2351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.296593
IL
Other
Enumeration date
10/27/2014
Last updated
08/17/2023
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