Individual
JASON KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2203 E OAKLAND AVE, BLOOMINGTON, IL 61701-5760
(309) 663-6341
Mailing address
2203 E OAKLAND AVE, BLOOMINGTON, IL 61701-5760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.302721
IL
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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