Individual
DR. JISHA M JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
1919 W PIONEER PKWY, PEORIA, IL 61615-1825
(309) 692-0045
Mailing address
7815 N KNOXVILLE AVE, SUITE 6, PEORIA, IL 61614-2078
(309) 691-5514
(309) 691-5639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296623
IL
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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