Lori Renee Blue

NPI #1669078127 in O Fallon, Illinois

Provider Information

NPI Number: 1669078127
Entity Type: Individual
Name: Lori Renee Blue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 753 W HIGHWAY 50
City: O Fallon
State: Illinois
ZIP Code: 62269-1943
Phone: (618) 624-3561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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