Individual
MR. DOUGLAS MICHAEL EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2608 GREEN MOUNT COMMONS DR, BELLEVILLE, IL 62221-6742
(618) 277-2020
(618) 277-2024
Mailing address
2608 GREEN MOUNT COMMONS DR, BELLEVILLE, IL 62221-6742
(618) 277-2020
(618) 277-2024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.290235
IL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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