Individual
GREGORY PUSZKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
420 NE GLEN OAK AVE, PEORIA, IL 61603-3105
(309) 624-8777
Mailing address
420 NE GLEN OAK AVE, PEORIA, IL 61603-3105
(309) 624-8777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.028529
IL
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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