Dax Fuiten, PHARM.D
NPI #1255935250 in East Peoria, Illinois
Provider Information
- NPI Number
- 1255935250
- Entity Type
- Individual
- Name
- Dax Fuiten, PHARM.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARM.D
- Enumeration Date
- Nov 30, 2020
- Last Updated
- Nov 30, 2020
Practice Location
- Address
- 200 N MAIN ST
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-2549
- Phone
- (309) 694-1496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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