Individual
JENNIFER MUSHINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N MAIN ST, CREVE COEUR, IL 61610-4039
(309) 699-9571
Mailing address
728 W DEERBROOK DR, PEORIA, IL 61615-1025
(309) 690-0069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15824
LA
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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