MR. Kenneth Gene Deeke, RPH
NPI #1316269277 in Springfield, Illinois
Provider Information
- NPI Number
- 1316269277
- Entity Type
- Individual
- Name
- MR. Kenneth Gene Deeke, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Feb 19, 2010
- Last Updated
- Feb 19, 2010
Practice Location
- Address
- 3250 E CLEAR LAKE AVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-6208
- Phone
- (217) 544-3735
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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