Individual
MR. JEFF R MERIDETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
855 ILLINI DR, SUITE 200, SILVIS, IL 61282-2907
(309) 792-7002
(309) 792-7003
Mailing address
855 ILLINI DR, SUITE 200, SILVIS, IL 61282-2907
(309) 792-7002
(309) 792-7003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051038666
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364197490001
—
IL
Enumeration date
08/14/2006
Last updated
10/28/2019
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