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Caleb Diericx, PHARMD

NPI 1629313630 · on the registry since 2012 · sole proprietor

Practice

Address
1704 W Deyoung St
Marion, IL 62959
Phone
(309) 993-6330
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
KY, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois