Individual
MR. JOHN EUGENE MCCOY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 N STATE ROUTE 48, DECATUR, IL 62526-3701
(217) 429-1988
(217) 429-9577
Mailing address
1311 N STATE ROUTE 48, DECATUR, IL 62526-3701
(217) 429-1988
(217) 429-9577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051026073
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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