Individual
DR. JOHN MARK RUSCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
701 N. FIRST STREET, SPRINGFIELD, IL 62794-9636
(217) 545-3934
(217) 545-7127
Mailing address
805 WILLIAMS BLVD, SPRINGFIELD, IL 62704-2805
(217) 753-3895
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051039436
IL
1835P1200X
Pharmacotherapy Pharmacist
14645
CO
Other
Enumeration date
11/09/2005
Last updated
10/07/2008
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