Individual
DR. ANGELA P DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 N RANDALL RD, LAKE IN THE HILLS, IL 60156-4471
(847) 658-7051
Mailing address
9728 DALTON DR, HUNTLEY, IL 60142-2313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051041100
IL
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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