Individual
MR. EUGENE WAYNE PERKINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
704 CAMBRIDGE BLVD, O'FALLON, IL 62269-2807
(618) 632-6920
Mailing address
1406 DESOTO DR, O'FALLON, IL 62269-2807
(618) 632-7454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
028163
MO
183500000X
Pharmacist
Primary
051.031899
IL
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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