Individual
JEFFREY GOVEDNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4521 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-6523
(309) 682-1250
Mailing address
21661 BUTTERNUT LN, DELAVAN, IL 61734-1719
(309) 229-4954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037803
IL
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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