Individual
JAMES ALLAN SHUPENUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
29 S MAIN ST, WINCHESTER, IL 62694-1249
(217) 742-3149
(217) 742-5219
Mailing address
422 W CHERRY ST, WINCHESTER, IL 62694-1032
(217) 742-9485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51-26247
IL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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