Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ANGELICA AURORA DISTERHOFT, PHARMD

Active

MRS. ANGELICA AURORA DISTERHOFT, PHARMD is a Pharmacist healthcare provider located in GENESEO, Illinois. NPI 1316214539 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · GENESEO, IL

Registration Details

NPI Number: 1316214539
Provider Type: Individual
Gender: Female
NPI Issued: Nov 17, 2011 (14.701368901838 yrs)
Last Updated: Nov 17, 2011
License: 051.290198 (IL)

Practice Information

Address: 1009 S OAKWOOD AVE

GENESEO, IL, 612541937
Browse IL providers · Browse ZIP 61254
Phone: 3099443784
Fax: 3099442768
Primary Specialty: Pharmacist
183500000X

Other Pharmacist Providers in GENESEO, IL

Name	Credential	NPI
MR. CHARLES ALVIN PIERCE	—	1225021991
RICHARD JOSEPH MCCLIMON	RPH	1043375413
TERRANCE TYRONE FAHLENKAMP	PHARMACIST	1871861948
DR. PAMELA WACHTEL	PH.D	1063782944
MR. TIMMY DUANE SHANNON	RPH	1932472925
DR. CRAIG ANDREW FORD	PHARMD	1407103450

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.