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John Joseph Bodensteiner, RPH

Pharmacist in Danville, IL. Individual provider (NPI-1).

NPI number1508090747
StatusActive
Last updated in NPPESMay 2, 2009

Details

NPI
1508090747
Entity type
Individual (NPI-1)
Name
Mr. John Joseph Bodensteiner
Credential
RPH
Sex
Male
Sole proprietor
Yes
Enumeration date
May 2, 2009
Last updated
May 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051.029707ILYes
183500000X Pharmacist26012728AIN

Practice location

311 W Fairchild St
Suite B
Danville, IL 61832-3876

Phone 217-431-7759

Mailing address

16979 E 2705 North Rd
Danville, IL 61834-6059

Phone 217-759-7465

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