Jonathon Ross Closen PHARMD

NPI 1649553561 - Pharmacist - 183500000X

NPI Details
NPI 1649553561
Gender Male
Enumeration Date 09/27/2011
Last Updated 09/27/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1200 E WAR MEMORIAL DR
PEORIA HEIGHTS IL, 61616-7723, US
Phone (309) 684-3822
Fax
Business Location
2008 WESTGATE DR
PEKIN IL, 61554-2422, US
Phone (309) 267-8682
Fax
Toxanomy
Taxonomy Code 183500000X
License State Illinois
License Number 051.294811
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According to our database, Dr. Jonathon Ross Closen PHARMD NPI is 1649553561, taxonomy code is 183500000X and license number is 051.294811, license state is located at Illinois. Jonathon Ross Closen PHARMD physically located at 1200 E War Memorial Dr, Peoria Heights IL, 61616-7723. NPI Number Jonathon Ross Closen PHARMD has the Individual type.

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1649553561 NPI number is provided on an as is basis without warranty of any kind. 1649553561 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathon Ross Closen PHARMD are for informational purposes only.