Jaison Joseph

NPI 1083049878 - Pharmacist - 183500000X

NPI Details
NPI 1083049878
Gender Male
Enumeration Date 09/11/2013
Last Updated 09/11/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1101 PEORIA ST
WASHINGTON IL, 61571-2350, US
Phone (309) 444-1681
Fax
Business Location
2711 MAYNARD DR
GLENVIEW IL, 60025-4679, US
Phone (847) 890-2055
Fax
Toxanomy
Taxonomy Code 183500000X
License State Illinois
License Number 051297067
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According to our database, Mr. Jaison Joseph NPI is 1083049878, taxonomy code is 183500000X and license number is 051297067, license state is located at Illinois. Jaison Joseph physically located at 1101 Peoria St, Washington IL, 61571-2350. NPI Number Jaison Joseph has the Individual type.

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1083049878 NPI number is provided on an as is basis without warranty of any kind. 1083049878 is maintained by the National Plan & Provider Enumeration System. The contents of Jaison Joseph are for informational purposes only.