Mary J. Eberle

Pharmacist · Canton, IL

Individual Active NPI

NPI number 1568063428

Practice location

2071 N Main St
Canton, IL 61520-1032
Phone
(309) 647-8100

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NPI record

NPI
1568063428
Entity type
Individual (Type 1)
Enumeration date
November 5, 2020
Last updated
November 5, 2020
Certified
November 5, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051035364 IL

Mailing address

15 Edmar Dr
Canton, IL 61520-1108
Phone
(309) 224-5354

About Mary Eberle

Mary J. Eberle is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2071 N Main St, Canton, IL 61520-1032. The NPI number 1568063428 was assigned on November 5, 2020 and the record was last updated on November 5, 2020.

Mary Eberle lists a license in the registry: #051035364 (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 Mary J. Eberle?

The NPI number is 1568063428.

What is the phone number of Mary Eberle?

The phone number listed for the practice location is (309) 647-8100.

Where is Mary Eberle located?

2071 N Main St, Canton, IL 61520-1032.

What is the taxonomy code for Mary Eberle?

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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