Katie Ann Medford, PHARMD Valid NPI
Individual provider · Pharmacist · Godfrey, IL
- NPI
- 1104508589
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 2023030688 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-08-03
- Last updated
- 2023-08-03
Practice location
2712 Godfrey Rd
Godfrey, IL 62035-3311
(618) 466-0825