Individual
DR. JEDEDIAH JAMES VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1650 WASHINGTON AVE, ALTON, IL 62002-3931
(618) 462-5386
Mailing address
1650 WASHINGTON AVE, ALTON, IL 62002-3931
(618) 462-5386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0002457766
IL
183500000X
Pharmacist
Primary
051305193
IL
Other
Enumeration date
10/18/2022
Last updated
11/04/2022
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