Individual
JEFF DENNEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 PEORIA ST, WASHINGTON, IL 61571-2350
(309) 444-2301
Mailing address
1101 PEORIA ST, WASHINGTON, IL 61571-2350
(309) 444-2301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295711
IL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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