Most Relevant Information
Provider Data
| NPI Number: | 1003376294 |
| Provider Name: | JENETTE WEBB PHARMACY TECHNICIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | 049192863 |
Most Important Dates
| Enumeration Date: | 03/22/2019 |
| Last Updated: | 03/22/2019 |
Provider Practice Location
4241 HIGHWAY 14 W
CHRISTOPHER
IL
628221037
Practice Location Phone/Fax
| Phone: | 6187242401 |
| Fax: |
Provider Mailing Location
4241 HIGHWAY 14 W
CHRISTOPHER
IL
628221037
Provider Mailing Phone/Fax
| Phone: | 6187242401 |
| Fax: |