Southall, Andrea Jean

Southall, Andrea Jean is an individual health care provider with primary practice located at 354 N Lagrange Rd , Frankfort IL 60423-2008. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Southall, Andrea Jean can be contacted via phone (708) 389-2725.

Contact Information

Primary practice address
354 N Lagrange Rd Frankfort IL 60423-2008
Phone: (708) 389-2725
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1215119052
LBN Legal business name Southall, Andrea Jean
Credentials RPH,CDM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2007
Last updated Dec 4th, 2007 - about 17 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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