Sam B an, PHARMD

Practice location

Address

311 N Western Ave, Peoria, IL 61604-5638

Phone

(309) 676-6333

Fax

(309) 676-1928

Registered specialties

Registry record

NPI

1003218090

Entity type

Individual

Sex (as registered)

Male

NPI issued

22 Sep 2014

Record last updated

16 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.