LISA M DOUGLASS

SPRINGFIELD, IL
NPI1780964817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051-287905)
Enumeration Date2011-08-20
Last Update Date2011-08-20
Business Address
-- LISA M DOUGLASS
1900 W JEFFERSON ST
SPRINGFIELD, IL 62702-2202
Phone number: 217-787-0648
Mailing Address
-- LISA M DOUGLASS
1900 W JEFFERSON ST
SPRINGFIELD, IL 62702-2202
Phone number: 217-787-0648
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