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Daniel Wilder, CPHT — NPI 1104569268, East Peoria, IL | NPI Central

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NPI 1104569268

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Daniel Wilder, CPHT

NPI 1104569268 · Pharmacy Technician · East Peoria, IL

Provider details

NPI number: 1104569268
Entity type: Individual
Primary specialty: Pharmacy TechnicianPharmacy Service Providers
Credential: CPHT
Sex: Male
Sole proprietor: Yes
License: 049.278851 (IL)

Practice location

300 N Main St

East Peoria, IL 61611-2081

Phone: (309) 694-7661

More IL providers

Mailing address

1011 Peoria St

Washington, IL 61571-2487

Registry dates

Enumerated: 2022-04-18
Last updated: 2025-02-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.