Individual provider · Type 1 NPI

Mallory Fowler

Pharmacist · Hines, IL

NPI number 1023418019 Active

Practice location

5000 S 5th Ave
Hines, IL 60141-3030

Call (708) 202-2988 Map

Mailing address

5207 S Blackstone Ave Unit 2
Chicago, IL 60615-4126

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.297808 (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 1023418019

Mallory Fowler's National Provider Identifier is 1023418019, issued on Aug 27, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hines, IL. The record was last updated on Aug 27, 2014.