Mariel Ingrid Matus De La Parra, R.PH

NPI #1427330943 in Peoria, Illinois

Provider Information

NPI Number
1427330943
Entity Type
Individual
Name
Mariel Ingrid Matus De La Parra, R.PH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
R.PH
Enumeration Date
Sep 10, 2011
Last Updated
Sep 10, 2011

Practice Location

Address
7815 N KNOXVILLE AVE STE 6
City
Peoria
ZIP Code
61614-2016
Phone
(309) 691-5514

Specialties & Taxonomy Codes

Specialty
Pharmacist

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