Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY RUTHERFORD, PHARMD.
Active Sole ProprietorDR. JEREMY RUTHERFORD, PHARMD. is a Geriatric Pharmacist healthcare provider located in EAST PEORIA, Illinois. NPI 1063796621 is currently active in the NPPES registry. Verify at CMS.
Geriatric Pharmacist · EAST PEORIA, IL
Registration Details
- NPI Number
- 1063796621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2011 (14.886814946493 yrs)
- Last Updated
- Sep 30, 2011
- License
-
051291403 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 N MAIN STEAST PEORIA, IL, 616112016Browse IL providers · Browse ZIP 61611
- Phone
- 3096947661
- Primary Specialty
-
Geriatric Pharmacist
1835G0303X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.