Darryl Paul Tjaden

NPI #1467055160 in Vandalia, Illinois

Provider Information

NPI Number: 1467055160
Entity Type: Individual
Name: Darryl Paul Tjaden
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 1401 N 8TH ST
City: Vandalia
State: Illinois
ZIP Code: 62471-1028
Phone: (618) 283-0196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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