Todd Richard Faga

NPI 1245542919 - Pharmacist - 183500000X

NPI Details
NPI 1245542919
Gender Male
Enumeration Date 07/09/2010
Last Updated 06/15/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
2020 COURT ST
PEKIN IL, 61554-5215, US
Phone (309) 347-5589
Fax
Business Location
2020 COURT ST
PEKIN IL, 61554-5215, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Illinois
License Number 051289059
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According to our database, Mr. Todd Richard Faga NPI is 1245542919, taxonomy code is 183500000X and license number is 051289059, license state is located at Illinois. Todd Richard Faga physically located at 2020 Court St, Pekin IL, 61554-5215. NPI Number Todd Richard Faga has the Individual type.

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1245542919 NPI number is provided on an as is basis without warranty of any kind. 1245542919 is maintained by the National Plan & Provider Enumeration System. The contents of Todd Richard Faga are for informational purposes only.