Individual
MR. DONALD QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 W MAIN ST, HAVANA, IL 62644-1198
(309) 543-2253
(309) 543-3471
Mailing address
201 W MAIN ST, HAVANA, IL 62644-1198
(309) 543-2253
(309) 543-3471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051036650
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371311057001
—
IL
Enumeration date
01/31/2022
Last updated
01/31/2022
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