Search › Illinois › Pharmacist
Lysle Pietsch
NPI 1013290733 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2040 Army Trail Rd
Hanover Park, IL 60133 - Phone
- (630) 830-6451
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois