Healthcare Provider Details

I. General information

NPI: 1457573305
Provider Name (Legal Business Name): L MARIE SEWELL RPH, PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N KNOXVILLE AVE
PEORIA IL
61603-3028
US

IV. Provider business mailing address

1800 N KNOXVILLE AVE
PEORIA IL
61603-3028
US

V. Phone/Fax

Practice location:
  • Phone: 309-686-0732
  • Fax:
Mailing address:
  • Phone: 309-686-0732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: