Individual
DR. DANIEL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1607 BROADWAY ST, PEKIN, IL 61554-3805
(309) 353-5333
Mailing address
1607 BROADWAY ST, PEKIN, IL 61554-3805
(309) 353-5333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298535
IL
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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