Individual
MR. JOHN ROGER PFISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
745 E VIENNA ST, ANNA, IL 62906-2041
(618) 833-7236
Mailing address
144 FAIRWAY VISTA RD, MURPHYSBORO, IL 62966-6402
(618) 684-6662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.030563
IL
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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