Individual
MR. JOHN CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 IVEY LN, CARTERVILLE, IL 62918-1611
(618) 985-2465
Mailing address
1012 IVEY LN, CARTERVILLE, IL 62918-1611
(618) 985-2465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-030247
IL
1835P1200X
Pharmacotherapy Pharmacist
051-030247
IL
1835X0200X
Oncology Pharmacist
051-030247
IL
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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