Individual
DR. ETHAN ROSS LOMELINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
151 SHETLAND DR, PITTSFIELD, IL 62363-1643
(217) 285-9709
Mailing address
PO BOX 184, MANCHESTER, IL 62663-0184
(217) 730-6899
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.306465
IL
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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