Bourdon, Amanda

Bourdon, Amanda is an individual health care provider with primary practice located at 1730 E Jackson St , Macomb IL 61455-2531. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bourdon, Amanda can be contacted via phone (309) 833-1456.

Contact Information

Primary practice address
1730 E Jackson St Macomb IL 61455-2531
Phone: (309) 833-1456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051301705 Illinois

Profile Details

NPI number 1336740729
LBN Legal business name Bourdon, Amanda
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2020
Last updated Nov 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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