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1194877233
LANA MALKOVICH
CHRISTOPHER, IL
NPI
1194877233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: IL 049 162664)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
-- LANA MALKOVICH Pharmacy Technician
REA CLINIC PHARMACY 4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
Phone number: 618-724-2136
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Mailing Address
-- LANA MALKOVICH Pharmacy Technician
REA CLINIC PO BOX 155
CHRISTOPHER, IL 62822
Phone number: 618-724-2401
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