Individual
DYLAN ZACHARY SAUL HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 W GREEN ST, CHAMPAIGN, IL 61820-5282
(217) 355-8123
Mailing address
107 W GREEN ST, CHAMPAIGN, IL 61820-5282
(217) 355-8123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051303295
IL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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