IndividualActive
Kimberly Wieter, RPH
NPI 1821690728 · Pharmacist · Centralia, IL
Kimberly Wieter, RPH is a Pharmacist provider in Centralia, IL (NPI 1821690728).
Provider details
- NPI number
- 1821690728
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- 051286171 (IL)
Practice location
790 W. Mccord St.
Centralia, IL 62801
Phone: (618) 532-2200
Fax: (618) 533-0566
Street-level locationGet directions
Mailing address
790 W. Mccord St.
Centralia, IL 62801
Registry dates
- Enumerated
- 2020-11-15
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.