Carl J Collignon RPH

NPI 1578845376 - Pharmacist - 183500000X

NPI Details
NPI 1578845376
Gender Male
Enumeration Date 09/16/2011
Last Updated 09/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
6607 STATE ROUTE 162
MARYVILLE IL, 62062-8514, US
Phone (618) 288-2130
Fax (618) 288-2136
Business Location
6607 STATE ROUTE 162
MARYVILLE IL, 62062, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Illinois
License Number 051.031392
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According to our database, Carl J Collignon RPH NPI is 1578845376, taxonomy code is 183500000X and license number is 051.031392, license state is located at Illinois. Carl J Collignon RPH physically located at 6607 State Route 162, Maryville IL, 62062-8514. NPI Number Carl J Collignon RPH has the Individual type.

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1578845376 NPI number is provided on an as is basis without warranty of any kind. 1578845376 is maintained by the National Plan & Provider Enumeration System. The contents of Carl J Collignon RPH are for informational purposes only.