KIMBERLY R WOLLENHAUPT

JACKSONVILLE, IL
NPI1578846986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051.292941)
Enumeration Date2011-09-21
Last Update Date2011-09-21
Business Address
Dr. KIMBERLY R WOLLENHAUPT
1800 W MORTON AVE
JACKSONVILLE, IL 62650-2619
Phone number: 217-479-0693
Mailing Address
Dr. KIMBERLY R WOLLENHAUPT
1800 W MORTON AVE
JACKSONVILLE, IL 62650-2619
Phone number: 217-720-8931