Individual provider · Type 1 NPI
Greg Otis Padjen
Pharmacist · Crystal Lake, IL
Practice location
151 W Northwest Highway
Crystal Lake, IL 60014
Fax (815) 455-1638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 051035321 (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 1104100213
Greg Otis Padjen's National Provider Identifier is 1104100213, issued on Oct 7, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Crystal Lake, IL. The record was last updated on Oct 7, 2011.