Wieter, Kimberly
Wieter, Kimberly is an individual health care provider with primary practice located at 1071 W Broadway , Centralia IL 62801-5309. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wieter, Kimberly can be contacted via phone (618) 532-2200.Contact Information
Primary practice address
1071 W Broadway
Centralia IL 62801-5309
Phone: (618) 532-2200
Fax: (618) 533-0566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051286171 | Illinois |
Profile Details
| NPI number | 1821690728 |
|---|---|
| LBN Legal business name | Wieter, Kimberly |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2020 |
| Last updated | Sep 10th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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