Individual
MR. JEFFREY ALLEN MEDERNACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2305 W ALTORFER DR, PEORIA, IL 61615-1809
(309) 691-2010
(309) 693-5521
Mailing address
2305 W ALTORFER DR, PEORIA, IL 61615-1809
(309) 691-2010
(309) 693-5521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051034915
IL
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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