Lori Renee Blue Valid NPI
Individual provider · Pharmacist · O Fallon, IL
- NPI
- 1669078127
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 051287756 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-12-09
- Last updated
- 2020-12-09
Practice location
753 W Highway 50
O Fallon, IL 62269-1943
(618) 624-3561