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Jason Brannock, R.PH
NPI 1285989673 · on the registry since 2012
Practice
- Address
- 1021 Us Highway 45 N
Eldorado, IL 62930 - Phone
- (618) 273-3874
- Fax
- (618) 273-3843
- Organisation at this address
- Freds Stores Of Tennessee Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Also registered as
- Pharmacist
- Licence states on file
- IL, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-21
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