Mr. Lysle R Pietsch
Mr. Lysle R Pietsch is a Pharmacist in Hanover Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
2040 Army Trail RdHanover Park, IL 60133-8975
Phone: (630) 830-6451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 051028556 (IL) |
|---|
Record details
| NPI number | 1013290733 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2011 |
| Last updated in NPPES | September 20, 2011 |
| Mailing address | 2040 Army Trail Rd, Hanover Park, IL 60133-8975 |
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