Doctor Name: | DAVID D WEGMAN |
NPI Number: | 1487958914 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPH, MS, FASCP, CGP |
License Number: | 051.031837 |
Business Practice Address: | 568 N Chestnut St Minonk, IL - 617601271 |
Business Phone Number: | 3094323451 |
Business Fax Number: | 3094323625 |
Mailing Address: | 568 N Chestnut St, MINONK |
State: | IL |
Postal Code: | 617601271 |
Phone Number: | 3094323451 |
Fax Number: | 3094323625 |
NPI Enumeration Date: | 12/23/2010 |
NPI Last Update Date: | 12/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 051.031837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |