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Cassidy Louise Domagalla
Geriatric Pharmacist in Peoria, Illinois
NPI 1386222685

Cassidy Louise Domagalla is a Geriatric Pharmacist based in Normal, IL and is specialized in Geriatric. Cassidy Louise Domagalla practices in Peoria, IL. The NPI Number for Cassidy Louise Domagalla is 1386222685 and holds a License No. 051.296273 (Illinois).

The current practice location address for Cassidy Louise Domagalla is 126 Oak St, Peoria, IL and can be reached out via phone at 309-690-7790 and via fax at 866-385-4948. You can also correspond with Cassidy Louise Domagalla through the mailing address at 817 NORMAL AVE, NORMAL, IL - 61761-1531 (mailing address contact number: 708-516-4718).

Location: 126 Oak St, Peoria, IL, 61761-1531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386222685
Provider Name
Cassidy Louise Domagalla
Credential
Provider Entity Type
Individual
Gender
Female
Address
126 Oak St, Peoria, IL, 61761-1531
Phone Number
309-690-7790
Fax Number
866-385-4948
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051.296273 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
126 Oak St
City
Peoria
State
Illinois
Zip
61602-1639
Phone Number
309-690-7790
Fax Number
866-385-4948
person
Provider Business Mailing Address Details
Address
817 Normal Ave
City
Normal
State
Illinois
Zip
61761-1531
Phone Number
708-516-4718
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Geriatric
Taxonomy
1835G0303X
License No.
051.296273 (Illinois)
Definition
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.
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