Danielle Kanallakan

NPI #1568746857 in Jerseyville, Illinois

Provider Information

NPI Number: 1568746857
Entity Type: Individual
Name: Danielle Kanallakan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 5, 2011
Last Updated: Oct 5, 2011

Practice Location

Address: 705 S STATE ST
City: Jerseyville
State: Illinois
ZIP Code: 62052-2340
Phone: (618) 498-4989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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