Individual
JAMES MICHAEL PIETRYGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 N GALENA AVE, DIXON, IL 61021-2113
(815) 284-8000
Mailing address
301 N GALENA AVE, DIXON, IL 61021-2113
(815) 284-8000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051032220
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051032220
PHARMACIST LICENSE
IL
Enumeration date
01/02/2019
Last updated
12/08/2020
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