Nathan Dufoe Valid NPI
Individual provider · Pharmacist · Roscoe, IL
- NPI
- 1154089761
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 051.304444 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
Practice location
4843 Bluestem Rd
Roscoe, IL 61073-7794
(815) 623-1696