Vicky L Illanne, R.PH.

NPI #1194032987 in Cypress, Texas

Provider Information

NPI Number: 1194032987
Entity Type: Individual
Name: Vicky L Illanne, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Sep 1, 2010
Last Updated: Sep 1, 2010

Practice Location

Address: 24224 NORTHWEST FWY
City: Cypress
State: Texas
ZIP Code: 77429-5683
Phone: (832) 731-1606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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