Dr. Jeremiah Vance, PharmD
Pharmacist in Havana, IL. Individual provider (NPI-1).
NPI number1710697743
StatusActive
Last updated in NPPESNov 30, 2022
Details
- NPI
- 1710697743
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeremiah Vance
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2022
- Certification date
- Nov 30, 2022
- Last updated
- Nov 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051304873 | IL | Yes |
Practice location
615 N Promenade StHavana, IL 62644-1243
Phone 309-543-4431
Mailing address
615 N Promenade StHavana, IL 62644-1243
Is something wrong?
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Other Pharmacist providers in Havana, IL
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