PHILLIP PRATT DEWOLF

MOUNT CARMEL, IL
NPI1033252069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051032658)
Additional Taxonomies183500000X Pharmacist
(Licence: IN  26014009A)
Enumeration Date2007-02-15
Last Update Date2014-07-09
Business Address
Mr. PHILLIP PRATT DEWOLF R. Ph.
1520 W 9TH ST
MOUNT CARMEL, IL 62863-2909
Phone number: 618-262-2475
Mailing Address
Mr. PHILLIP PRATT DEWOLF R. Ph.
11508 SUGAR CREEK AVE
MOUNT CARMEL, IL 62863-5011
Phone number: 618-262-5673
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