Individual
JOHN MARTIN CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TROY SQ, TROY, MO 63379-3101
(636) 528-8667
(636) 462-7010
Mailing address
2 NICHOLAS CT, WHITE HEATH, IL 61884-9342
(309) 371-7862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051029319
IL
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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