DR. Caleb Diericx, PHARMD

NPI #1629313630 in Marion, Illinois

Provider Information

NPI Number: 1629313630
Entity Type: Individual
Name: DR. Caleb Diericx, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 2, 2012
Last Updated: Nov 24, 2020

Practice Location

Address: 1704 W DEYOUNG ST
City: Marion
State: Illinois
ZIP Code: 62959-1054
Phone: (309) 993-6330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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