Individual
MR. JOHN ROSS MITTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1400 HARRISON ST, QUINCY, IL 62301-6706
(217) 222-2930
Mailing address
211 MORGAN ST, KEOKUK, IA 52632-5942
(319) 572-8003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-028824
IL
Other
Enumeration date
02/23/2007
Last updated
10/16/2020
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