Organization
LADONNA POEHLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONNA K POEHLER RPH (OWNER PHARMACIST)
(618) 783-2838
Entity
Organization
Contact information
Practice address
600 W JOURDAN ST, NEWTON, IL 62448-1056
(618) 783-2838
(618) 783-3978
Mailing address
4768 ATHENS LN, LOUISVILLE, IL 62858-2436
(618) 783-2838
(618) 783-3978
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054018183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1465182
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
371330596001
—
IL
01
—
IL1302
CMS 855 PTAN
IL
Enumeration date
08/20/2006
Last updated
03/07/2023
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