Individual
DIANE MEYERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2323 OLD PLANK RD, CHESTER, IL 62233-1153
(618) 826-2511
(618) 826-3060
Mailing address
2323 OLD PLANK RD, CHESTER, IL 62233-1153
(618) 826-2511
(618) 826-3060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.037419
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831912704002
—
IL
Enumeration date
06/18/2020
Last updated
06/18/2020
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