Jonathan Fry, PHARMD
NPI #1164705414 in Springfield, Illinois
Provider Information
- NPI Number
- 1164705414
- Entity Type
- Individual
- Name
- Jonathan Fry, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Sep 22, 2011
- Last Updated
- Sep 22, 2011
Practice Location
- Address
- 2140 N PEORIA RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-1840
- Phone
- (217) 544-2925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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