Dale Suhrenbrock, RPH

NPI #1104109800 in Wood River, Illinois

Provider Information

NPI Number: 1104109800
Entity Type: Individual
Name: Dale Suhrenbrock, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 20, 2011
Last Updated: Sep 20, 2011

Practice Location

Address: 1122 VAUGHN RD
City: Wood River
State: Illinois
ZIP Code: 62095-1848
Phone: (618) 259-2013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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