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

TERRANCE TYRONE FAHLENKAMP, PHARMACIST

Active Sole Proprietor

TERRANCE TYRONE FAHLENKAMP, PHARMACIST is a Pharmacist healthcare provider located in GENESEO, Illinois. NPI 1871861948 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · GENESEO, IL

Registration Details

NPI Number
1871861948
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2011 (14.651263970419 yrs)
Last Updated
Dec 5, 2011
Licenses
051.037640 (IL)
13590 (IA)
11249 (CO)
Sole Proprietor
Yes

Practice Information

Address
1009 S OAKWOOD AVE
GENESEO, IL, 612541937
Browse IL providers · Browse ZIP 61254
Phone
3099443784
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist

Other Pharmacist Providers in GENESEO, IL

Name Credential NPI
MR. CHARLES ALVIN PIERCE 1225021991
RICHARD JOSEPH MCCLIMON RPH 1043375413
MRS. ANGELICA AURORA DISTERHOFT PHARMD 1316214539
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.