Brent D Herron

NPI #1427659820 in Champaign, Illinois

Provider Information

NPI Number: 1427659820
Entity Type: Individual
Name: Brent D Herron
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 3, 2020
Last Updated: Nov 3, 2020

Practice Location

Address: 2610 N PROSPECT AVE
City: Champaign
State: Illinois
ZIP Code: 61822-1251
Phone: (217) 352-1490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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