James R Broedlow, RPH

NPI #1861416604 in Streator, Illinois

Provider Information

NPI Number
1861416604
Entity Type
Individual
Name
James R Broedlow, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Jul 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
109 E MAIN ST
ZIP Code
61364-2924
Phone
(815) 672-2968

Specialties & Taxonomy Codes

Specialty
Pharmacist

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