Legrande, Diane Adele

Legrande, Diane Adele is an individual health care provider with primary practice located at 1980 Freedom Pkwy , Washington IL 61571-9468. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Legrande, Diane Adele can be contacted via phone (309) 745-3476.

Contact Information

Primary practice address
1980 Freedom Pkwy Washington IL 61571-9468
Phone: (309) 745-3476
Fax: (309) 745-3487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11690 Kansas
Pharmacy Service Providers / Pharmacist 183500000X 051039182 Illinois

Profile Details

NPI number 1821698929
LBN Legal business name Legrande, Diane Adele
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2020
Last updated Oct 28th, 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 1821698929 NPPES
Kansas Other 11690 KANSAS BOARD OF PHARMACY
Kansas Other 051039182 KANSAS BOARD OF PHARMACY

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