Edward J Praisa JR., RPH

NPI #1164951646 in Marengo, Illinois

Provider Information

NPI Number
1164951646
Entity Type
Individual
Name
Edward J Praisa JR., RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Jun 8, 2017
Last Updated
Jun 8, 2017

Practice Location

Address
101 N STATE ST
ZIP Code
60152-2217
Phone
(815) 568-7242

Specialties & Taxonomy Codes

Specialty
Pharmacist

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