Flanagan, Tracy Leann

Flanagan, Tracy Leann is an individual health care provider with primary practice located at 936 S Main St , Jacksonville IL 62650-3014. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Flanagan, Tracy Leann can be contacted via phone (217) 243-1728.

Contact Information

Primary practice address
936 S Main St Jacksonville IL 62650-3014
Phone: (217) 243-1728
Fax: (217) 143-8380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051287907 Illinois

Profile Details

NPI number 1952905101
LBN Legal business name Flanagan, Tracy Leann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2020
Last updated Nov 29th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952905101 NPPES
Illinois Other 051287907 051287907
Illinois Other 051287907 051287907

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