Individual provider · Type 1 NPI

Thomas Patrick Fosnaugh, PharmD

Pharmacist · Kankakee, IL

NPI number 1104009083 Active

Practice location

1050 N Kennedy Dr
Kankakee, IL 60901-2033

Call (815) 932-9615 Map

Mailing address

470 W Broadway St
Bradley, IL 60915-2255

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XNone listed

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 1104009083

Thomas Patrick Fosnaugh, PharmD's National Provider Identifier is 1104009083, issued on Dec 13, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kankakee, IL. The record was last updated on Dec 13, 2007.