Individual
DR. DARIUS FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
Mailing address
2526 OAK ST, QUINCY, IL 62301-3617
(407) 259-9696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042276
MI
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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