LAVERN RAY HOLMLUND

DECATUR, IL
NPI1376810150
Other NameVERN HOLMLUND
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051028334)
Additional Taxonomies183500000X Pharmacist
(Licence: MN  115522)
Enumeration Date2011-11-22
Last Update Date2011-11-22
Business Address
LAVERN RAY HOLMLUND RPH
1315 N WATER ST
DECATUR, IL 62526-4467
Phone number: 217-429-0958
Mailing Address
LAVERN RAY HOLMLUND RPH
1315 N WATER ST
DECATUR, IL 62526-4467
Phone number: 217-429-0958