Dr Keith R Fuentes, PHARMD | |
221 N Western Ave, West Peoria, IL 61604-5640 | |
(309) 673-0665 | |
(309) 673-3593 |
Full Name | Dr Keith R Fuentes |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 221 N Western Ave, West Peoria, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982218525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 051299712 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Dr Keith R Fuentes, PHARMD 221 N Western Ave, West Peoria, IL 61604-5640 Ph: (309) 673-0665 | Dr Keith R Fuentes, PHARMD 221 N Western Ave, West Peoria, IL 61604-5640 Ph: (309) 673-0665 |
Richard L Monroe, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 925 N Western Ave, West Peoria, IL 61604 Phone: 309-676-4421 | |
Andrew B Kurz, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 221 N Western Ave, West Peoria, IL 61604 Phone: 309-673-0665 | |
Isaac Ibrahim Boktor, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 221 N Western Ave, West Peoria, IL 61604 Phone: 309-673-0665 |