Provider Demographics
NPI:1649553173
Name:PIEPER, NELL MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NELL
Middle Name:MARIE
Last Name:PIEPER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 CARDINAL DR
Mailing Address - Street 2:APT. 8
Mailing Address - City:CHATHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62629-2057
Mailing Address - Country:US
Mailing Address - Phone:815-693-6498
Mailing Address - Fax:
Practice Address - Street 1:2500 S KOKE MILL RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62711-9617
Practice Address - Country:US
Practice Address - Phone:217-726-0979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.295105183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist