Itoro Etim
NPI #1295002970 in Springfield, Illinois
Provider Information
- NPI Number
- 1295002970
- Entity Type
- Individual
- Name
- Itoro Etim
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 22, 2011
- Last Updated
- Nov 22, 2011
Practice Location
- Address
- 1900 W JEFFERSON ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-2202
- Phone
- (217) 787-0648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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