Individual
MR. JOHN JOSEPH BODENSTEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
311 W FAIRCHILD ST, SUITE B, DANVILLE, IL 61832-3876
(217) 431-7759
Mailing address
16979 E 2705 NORTH RD, DANVILLE, IL 61834-6059
(217) 759-7465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.029707
IL
183500000X
Pharmacist
26012728A
IN
Other
Enumeration date
05/02/2009
Last updated
05/02/2009
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