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Individual

JOHN JOSEPH PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
915 S HALLECK ST, DEMOTTE, IN 46310
(219) 987-6468
(219) 987-7226
Mailing address
412 W 34TH STREET, #304, STEGER, IL 60475-1433
(330) 559-9398

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
26022679A
IN
183500000X
Pharmacist
RP0007003
WV
183500000X
Pharmacist
Primary
IL

Other

Enumeration date
02/29/2008
Last updated
02/29/2008
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