Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Daniel Wilder, CPHT

Individual provider Pharmacy Technician · NPI 1104569268

Mr. Daniel Wilder, CPHT is a Pharmacy Technician in East Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

300 N Main St
East Peoria, IL 61611-2081
Phone: (309) 694-7661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 049.278851 (IL)

Record details

NPI number1104569268
Entity typeIndividual (Type 1)
GenderMale
Credentials CPHT
Sole proprietorYes
NPI enumeratedApril 18, 2022
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025