Organization
JPIE INC.
Active
Other names
Main Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL PIETRYGA RPH (PRESIDENT)
(815) 288-1995
Entity
Organization
Contact information
Practice address
120 W 1ST ST, DIXON, IL 61021-3025
(815) 288-1995
(815) 288-7813
Mailing address
120 W 1ST ST, DIXON, IL 61021-3025
(815) 288-1995
(815) 288-7813
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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