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1033217427
KEVIN L HENDRICK
WOOD RIVER, IL
NPI
1033217427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051-034394)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- KEVIN L HENDRICK rph
600 E FERGUSON AVE
WOOD RIVER, IL 62095-2146
Phone number: 618-254-6223
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Mailing Address
-- KEVIN L HENDRICK rph
5 COBBLESTONE CT
GRANITE CITY, IL 62040-5183
Phone number: 618-451-7665
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