JEFFREY ALLEN MEDERNACH

PEORIA, IL
NPI1023396835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051034915)
Enumeration Date2011-07-27
Last Update Date2011-07-27
Business Address
Mr. JEFFREY ALLEN MEDERNACH RPh
2305 W ALTORFER DR
PEORIA, IL 61615-1809
Phone number: 309-691-2010
Mailing Address
Mr. JEFFREY ALLEN MEDERNACH RPh
2305 W ALTORFER DR
PEORIA, IL 61615-1809
Phone number: 309-691-2010