Individual
MR. JON PATRICK MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2945 S 6TH ST, SPRINGFIELD, IL 62703-4024
(217) 788-5846
(217) 788-8128
Mailing address
4912 EDEN CT, SPRINGFIELD, IL 62711-9254
(217) 553-1621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.286958
IL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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