Provider Demographics
NPI:1346364254
Name:DREYER, STEFANE A (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:STEFANE
Middle Name:A
Last Name:DREYER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1389 S ROCKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-2574
Mailing Address - Country:US
Mailing Address - Phone:847-397-8730
Mailing Address - Fax:
Practice Address - Street 1:144 S GARY AVE
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2225
Practice Address - Country:US
Practice Address - Phone:630-351-4433
Practice Address - Fax:630-351-2978
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist