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Search › Illinois › Pharmacist

Justin Mckinnie

NPI 1154923084 · on the registry since 2020 · sole proprietor

Practice

Address
101 Dettro Dr
Mattoon, IL 61938
Phone
(217) 258-6313
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Pharmacist
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois