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Individual

DR. JAMES CODY SANDUSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
710 S COMMERCIAL ST, HARRISBURG, IL 62946-2346
(618) 252-3059
(618) 252-3252
Mailing address
710 S COMMERCIAL ST, HARRISBURG, IL 62946-2346
(618) 252-3059
(618) 252-3252

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.295800
IL

Other

Enumeration date
12/14/2012
Last updated
09/20/2016
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