MARK EDWARD HUMPHREY

MARION, IL
NPI1740291764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051-030021)
Enumeration Date2006-08-11
Last Update Date2007-07-08
Business Address
-- MARK EDWARD HUMPHREY RPh
2401 W MAIN ST VA MEDICAL CENTER
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
-- MARK EDWARD HUMPHREY RPh
2100 LERIN LN
MARION, IL 62959-1400
Phone number: 618-997-2199
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