IndividualActive
David Wegman, RPH, MS, FASCP, CGP
NPI 1487958914 · Geriatric Pharmacist · Minonk, IL
Provider details
- NPI number
- 1487958914
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- RPH, MS, FASCP, CGP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051.031837 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
568 N Chestnut St
Minonk, IL 61760-1271
Phone: (309) 432-3451
Fax: (309) 432-3625
Approximate (ZIP-level) locationGet directions
Mailing address
568 N Chestnut St
Minonk, IL 61760-1271
Registry dates
- Enumerated
- 2010-12-23
- Last updated
- 2010-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.