Individual provider · Type 1 NPI

Dalton Paul Dieckow, PharmD

Pharmacist · Peoria, IL

NPI number 1689509747 Active

Practice location

8940 N Wood Sage Rd
Peoria, IL 61615-7822

Call (309) 243-3404 Map

Fax (309) 243-3032

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.303137 (IL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1689509747

Dalton Paul Dieckow, PharmD's National Provider Identifier is 1689509747, issued on Jun 17, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Jun 17, 2026.