Individual
DAVID D WEGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, MS, FASCP, CGP
Contact information
Practice address
568 N CHESTNUT ST, MINONK, IL 61760-1271
(309) 432-3451
(309) 432-3625
Mailing address
568 N CHESTNUT ST, MINONK, IL 61760-1271
(309) 432-3451
(309) 432-3625
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
051.031837
IL
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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