Individual
JOHN ANTHONY MENGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
304 W MAIN ST, WEST FRANKFORT, IL 62896-2322
(618) 937-4623
Mailing address
702 RACHAEL CT, CARTERVILLE, IL 62918-1051
(618) 304-1110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.038895
IL
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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