Wade A Siefert
Wade A Siefert is a Pharmacist in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
10302 N Schopp LnPeoria, IL 61615-1180
Phone: (309) 258-1574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 051036934 (IL) |
|---|
Record details
| NPI number | 1619625399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2022 |
| Last updated in NPPES | March 12, 2022 |
| Certification date | March 12, 2022 |
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