Individual
AUGUST WALTER DUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2909 COURT ST, PEKIN, IL 61554-6203
(309) 347-5936
Mailing address
2909 COURT ST, PEKIN, IL 61554-6203
(309) 347-5936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051029156
IL
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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