Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DANIEL WILDER, CPHT
Active Sole ProprietorMR. DANIEL WILDER, CPHT is a Pharmacy Technician healthcare provider located in EAST PEORIA, Illinois. NPI 1104569268 is currently active in the NPPES registry. Verify at CMS.
Pharmacy Technician · EAST PEORIA, IL
Registration Details
- NPI Number
- 1104569268
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2022 (4.282707389862 yrs)
- Last Updated
- Feb 4, 2025
- License
-
049.278851 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 N MAIN STEAST PEORIA, IL, 616112081Browse IL providers · Browse ZIP 61611
- Phone
- 3096947661
- Primary Specialty
-
Pharmacy Technician
183700000X
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.