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Individual
JASON BUGNO
Active
Individual
JASON BUGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, PHD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051303066
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051303066
STATE LICENSE
IL
Enumeration date
09/30/2020
Last updated
11/27/2023
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