Individual
JERRE DALE ATCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1600 W MAIN ST, CARBONDALE, IL 62901-2120
(618) 457-8397
(618) 549-3052
Mailing address
1900 STATE ST RM 100, CHESTER, IL 62233-1116
(618) 826-6134
(618) 826-1708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051035825
IL
Other
Enumeration date
11/16/2011
Last updated
11/17/2022
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