Darryl Paul Tjaden

Pharmacist · Vandalia, IL

Individual Active NPI

NPI number 1467055160

Practice location

1401 N 8TH St
Vandalia, IL 62471-1028
Phone
(618) 283-0196
Fax
(618) 283-9150

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NPI record

NPI
1467055160
Entity type
Individual (Type 1)
Enumeration date
November 17, 2020
Last updated
November 17, 2020
Certified
November 17, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051029270 IL

About Darryl Tjaden

Darryl Paul Tjaden is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1401 N 8TH St, Vandalia, IL 62471-1028. The NPI number 1467055160 was assigned on November 17, 2020 and the record was last updated on November 17, 2020.

Darryl Tjaden lists a license in the registry: #051029270 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Darryl Paul Tjaden?

The NPI number is 1467055160.

What is the phone number of Darryl Tjaden?

The phone number listed for the practice location is (618) 283-0196.

Where is Darryl Tjaden located?

1401 N 8TH St, Vandalia, IL 62471-1028.

What is the taxonomy code for Darryl Tjaden?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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