IndividualActive
David Gardner
NPI 1891243705 · Pharmacist · Murphysboro, IL
Provider details
- NPI number
- 1891243705
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 051039834 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
6495 Country Club Rd
Murphysboro, IL 62966-5202
Phone: (618) 687-3478
Fax: (618) 687-3547
Approximate (ZIP-level) locationGet directions
Mailing address
6495 Country Club Rd
Murphysboro, IL 62966-5202
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2016-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.