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Individual

DR. EDWARD JOHN OLDFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3441 SMYTHBERRY LN APT 7, SPRINGFIELD, IL 62711-8210
(630) 430-8480
Mailing address
3441 SMYTHBERRY LN APT 7, SPRINGFIELD, IL 62711-8210
(630) 430-8480

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.301648
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051301648
IL PHARMACIST LICENSE NUMBER
IL
Enumeration date
04/18/2020
Last updated
04/18/2020
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