Individual
DIANE MARIE WELSHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1706 W REYNOLDS ST, PONTIAC, IL 61764-9695
(815) 842-2230
(815) 844-5377
Mailing address
509 E WASHINGTON ST, PONTIAC, IL 61764-2017
(815) 830-3277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037142
IL
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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