Provider Demographics
NPI:1093766230
Name:MEESE, RICHARD EUGENE II (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:EUGENE
Last Name:MEESE
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 DELMAR DR
Mailing Address - Street 2:P.O. BOX 78
Mailing Address - City:CATLIN
Mailing Address - State:IL
Mailing Address - Zip Code:61817-9602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 N LOGAN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-3741
Practice Address - Country:US
Practice Address - Phone:217-443-2306
Practice Address - Fax:217-431-5590
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist