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Individual

MR. JOHN FREDERICK ENDRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
505 COLBROOK DR, SPRINGFIELD, IL 62702-3384
(217) 415-8089
Mailing address
505 COLBROOK DR, SPRINGFIELD, IL 62702-3384
(217) 415-8089

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051034097
IL

Other

Enumeration date
04/27/2020
Last updated
04/27/2020
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