NPI 1023654605

Jeffery Tyler Giebelhausen, PHARMD

Practitioner Pharmacist Peoria, IL

Practice location

Address: 9219 N Lindbergh Dr, Peoria, IL 61615-1425
Phone: (309) 692-0473
Fax: (309) 692-0583

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051301735 (IL)

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Registry record

NPI: 1023654605
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2019
Record last updated: 19 Nov 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.