MR. Richard Lee Stallman, R.PH

NPI #1124303631 in Bloomington, Illinois

Provider Information

NPI Number: 1124303631
Entity Type: Individual
Name: MR. Richard Lee Stallman, R.PH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH
Enumeration Date: Oct 15, 2011
Last Updated: Oct 15, 2011

Practice Location

Address: 1525 N VETERANS PKWY
City: Bloomington
State: Illinois
ZIP Code: 61704-0904
Phone: (309) 661-8613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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