Individual
JOHN THOMAS VANDEVOORT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 717-1010
Mailing address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 717-1010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14099-40
WI
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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