# LADONNA POEHLER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750496782
- **Authorized official:** MRS. LADONNA K POEHLER RPH (OWNER PHARMACIST)
- **Authorized official phone:** (618) 783-2838

## Contact information

- **Practice address:** 600 W JOURDAN ST, NEWTON, IL 62448-1056
- **Practice address phone:** (618) 783-2838
- **Practice address fax:** (618) 783-3978
- **Mailing address:** 4768 ATHENS LN, LOUISVILLE, IL 62858-2436
- **Mailing address phone:** (618) 783-2838
- **Mailing address fax:** (618) 783-3978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054018183 | IL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1465182 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 371330596001 | — | IL |
| 01 | — | IL1302 | CMS 855 PTAN | IL |