Individual
CALEB DAVID BRAASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 SOUTH AIRPORT RD, DECATUR, IL 62521
(217) 864-5912
Mailing address
1818 SOUTH AIRPORT ROAD, DECATUR, IL 62521
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051303293
IL
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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