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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN DOUGLAS MCKINNIE

Active Sole Proprietor

JUSTIN DOUGLAS MCKINNIE is a Pharmacist healthcare provider located in MATTOON, Illinois. NPI 1154923084 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MATTOON, IL

Registration Details

NPI Number
1154923084
Provider Type
Individual
Gender
Male
NPI Issued
Nov 16, 2020 (5.7401098437614 yrs)
Last Updated
Nov 16, 2020
License
051292076 (IL)
Sole Proprietor
Yes

Practice Information

Address
101 DETTRO DR
MATTOON, IL, 619389044
Browse IL providers · Browse ZIP 61938
Phone
2172586313
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MATTOON, IL

Name Credential NPI
TONY E RICHARDS R.PH. 1982633509
KAREN L CLAUSING RPH 1083628242
DAVID R CLAUSING RPH 1750395919
EDWARD COCHRAN NEAL RPH 1801178512
MR. DONALD HUTTON II RPH. 1154608511
SEAN M STEP RPH 1881961159
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.