Charles Wieland III

NPI #1518557115 in Casey, Illinois

Provider Information

NPI Number
1518557115
Entity Type
Individual
Name
Charles Wieland III
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jan 19, 2021
Last Updated
Jan 19, 2021

Practice Location

Address
202 WEST EDGAR
City
Casey
ZIP Code
62420-1099
Phone
(217) 932-4004

Specialties & Taxonomy Codes

Specialty
Pharmacist

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