Individual
CHRISTOPHER POLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
915 W MARKETVIEW DR, CHAMPAIGN, IL 61822-1221
(217) 352-1987
Mailing address
915 W MARKETVIEW DR, CHAMPAIGN, IL 61822-1221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052.301824
IL
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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