Comprehensive Bleeding Disorders Center

NPI #1457347502 in Peoria, Illinois

Provider Information

NPI Number
1457347502
Entity Type
Organization
Organization Name
Comprehensive Bleeding Disorders Center
Primary Specialty
Pharmacy
Enumeration Date
Sep 23, 2005
Last Updated
Aug 8, 2008

Practice Location

Address
4727 N SHERIDAN RD
City
Peoria
ZIP Code
61614-5925
Phone
(309) 688-1345

Authorized Official

Name
MRS. MARY L DAVIS
Title
EXECUTIVE DIRECTOR
Phone
(309) 688-1345

Specialties & Taxonomy Codes

Specialty
Pharmacy

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