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Individual

JOHN M HOUSE V

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 904-7222
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 904-7222

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295078
IL

Other

Enumeration date
12/01/2016
Last updated
12/01/2016
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