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1780711028
RICHARD E CROSSETT
MACOMB, IL
NPI
1780711028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051-032362)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Mr. RICHARD E CROSSETT RPh
118 N LAFAYETTE ST
MACOMB, IL 61455-2226
Phone number: 309-833-2424
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Mailing Address
Mr. RICHARD E CROSSETT RPh
22 INDIAN TRAIL RD
MACOMB, IL 61455-1022
Phone number: 309-837-5281
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CROSSETT PHARMACY, INC