Individual
DR. ALEXANDER OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296597
IL
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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