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Individual

DR. JASON JOSEPH DEGENHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D. RPH

Contact information

Practice address
2939 WILD HORSE ST, NORMAL, IL 61761-9656
(309) 451-1722
Mailing address
2939 WILD HORSE ST, NORMAL, IL 61761-9656
(309) 451-1722

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IL
1835G0303X
Geriatric Pharmacist
IL

Other

Enumeration date
03/07/2007
Last updated
09/11/2025
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