Elaine Mary Grimes
Pharmacist in Flora, IL. Individual provider (NPI-1).
NPI number1336743293
StatusActive
Last updated in NPPESNov 22, 2020
Details
- NPI
- 1336743293
- Entity type
- Individual (NPI-1)
- Name
- Elaine Mary Grimes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2020
- Certification date
- Nov 22, 2020
- Last updated
- Nov 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051034921 | IL | Yes |
Practice location
1301 N State RdFlora, IL 62839-1093
Phone 618-662-4767 · Fax 618-662-2657
Mailing address
Po Box 714Olney, IL 62450-0714
Phone 618-838-7835
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Other Pharmacist providers in Flora, IL
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All 9 Pharmacist providers in Flora · All 166 providers in Flora
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