Jeffrey Allen Medernach RPH

NPI 1023396835 - Pharmacist - 183500000X

NPI Details
NPI 1023396835
Gender Male
Enumeration Date 07/27/2011
Last Updated 07/27/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2305 W ALTORFER DR
PEORIA IL, 61615-1809, US
Phone (309) 691-2010
Fax (309) 693-5521
Business Location
2305 W ALTORFER DR
PEORIA IL, 61615-1809, US
Phone (309) 691-2010
Fax (309) 693-5521
Toxanomy
Taxonomy Code 183500000X
License State Illinois
License Number 051034915
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According to our database, Mr. Jeffrey Allen Medernach RPH NPI is 1023396835, taxonomy code is 183500000X and license number is 051034915, license state is located at Illinois. Jeffrey Allen Medernach RPH physically located at 2305 W Altorfer Dr, Peoria IL, 61615-1809. NPI Number Jeffrey Allen Medernach RPH has the Individual type.

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1023396835 NPI number is provided on an as is basis without warranty of any kind. 1023396835 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Allen Medernach RPH are for informational purposes only.