Individual
DR. JUSTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
301 W WASHINGTON ST, EAST PEORIA, IL 61611-2036
(309) 427-2931
Mailing address
301 W WASHINGTON ST, EAST PEORIA, IL 61611-2036
(309) 427-2931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.293963
IL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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