Individual
BETHANY E LITHGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 PHILO RD, URBANA, IL 61802-6015
(217) 367-5486
Mailing address
1801 PHILO RD, URBANA, IL 61802-6015
(217) 367-5486
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049159123
IL
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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