MARY A. OTIS

HIGHLAND, IL
NPI1134492812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  51-028503)
Additional Taxonomies183500000X Pharmacist
(Licence: MO  027995)
Enumeration Date2012-02-11
Last Update Date2012-02-11
Business Address
Mrs. MARY A. OTIS RPh
280 KINGSBURY CT
HIGHLAND, IL 62249-2921
Phone number: 618-654-5469
Mailing Address
Mrs. MARY A. OTIS RPh
280 KINGSBURY CT
HIGHLAND, IL 62249-2921
Phone number: 618-654-5469