Provider Demographics
NPI:1952503583
Name:PIERGALSKI, DONALD JOHN (RPH CDM)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:JOHN
Last Name:PIERGALSKI
Suffix:
Gender:M
Credentials:RPH CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 S RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1717
Mailing Address - Country:US
Mailing Address - Phone:630-834-2000
Mailing Address - Fax:630-834-0238
Practice Address - Street 1:942 S YORK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5115
Practice Address - Country:US
Practice Address - Phone:630-834-2000
Practice Address - Fax:630-834-0238
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist