Cassidy Louise Domagalla

Geriatric


  
  126 Oak St, Peoria
Illinois, 61602-1639

 309-690-7790    866-385-4948
Cassidy Louise Domagalla is a pharmacist who is specialized in Geriatric in Peoria, Illinois. Patients can reach her at 126 Oak St, Peoria or contact her on 309-690-7790. Active license number of Cassidy Louise Domagalla is 051.296273 for Geriatric in Illinois.
Cassidy Louise Domagalla is a pharmacist who is certified in geriatric pharmacy practice is designated as a “Certified Geriatric Pharmacist” (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.


Complete Profile:
Cassidy Louise Domagalla speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name: Cassidy Louise Domagalla
Specialization: Geriatric
Gender:Female
Location:126 Oak St, Peoria,
Illinois, 61602-1639
Phone:309-690-7790
Fax:866-385-4948
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Cassidy Louise Domagalla are as mentioned below.
NPI Number: 1386222685
NPI Enumeration Date: 30 Mar, 2021
NPI Last Update On: 30 Mar, 2021

Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cassidy Louise Domagalla are as mentioned below.
SpecializationLicense NumberStateStatus
Geriatric 051.296273IllinoisPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Cassidy Louise Domagalla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
051.296273OtherIllinoisState License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 817 Normal Ave,
Normal, Illinois
Zip: 61761-1531
Phone Number: 708-516-4718
Fax Number: --
Patients can reach Cassidy Louise Domagalla at 126 Oak St, Peoria, Illinois or can call on phone at 309-690-7790.

Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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