Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Daniel Wilder, CPHT

Individual provider Pharmacy Technician · NPI 1104569268

Mr. Daniel Wilder, CPHT is a Pharmacy Technician in East Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

300 N Main St
East Peoria, IL 61611-2081
Phone: (309) 694-7661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 049.278851 (IL)

Record details

NPI number1104569268
Entity typeIndividual (Type 1)
GenderMale
Credentials CPHT
Sole proprietorYes
NPI enumeratedApril 18, 2022
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address1011 Peoria St, Washington, IL 61571-2487