Individual
HENRY T LUCHTEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615-9323
(309) 589-6800
Mailing address
1013 E MONROE ST, MORTON, IL 61550-2318
(309) 589-6800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051036231
IL
Other
Enumeration date
08/04/2006
Last updated
02/25/2016
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