Individual
J SCOTT BAHORIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1980 FREEDOM PKWY, WASHINGTON, IL 61571-9468
(309) 745-3476
(309) 745-3487
Mailing address
136 FARMVIEW CT, EAST PEORIA, IL 61611-9639
(309) 202-0077
(309) 745-3487
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-034340
IL
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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