Individual
DANIEL STATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3315 N UNIVERSITY ST, PEORIA, IL 61604-1320
(608) 576-2540
Mailing address
3315 N UNIVERSITY ST, PEORIA, IL 61604-1320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0513005628
IL
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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