Individual provider · Type 1 NPI

Latosha Monique Mayes, PharmD

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Great Lakes, IL

NPI number 1124285556 Active

Practice location

3001 1A 6th Street
Great Lakes, IL 60088

Mailing address

2120 Sunset Ln
South Holland, IL 60473-3773

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X051289463 (IL)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1124285556

Latosha Monique Mayes, PharmD's National Provider Identifier is 1124285556, issued on May 22, 2008. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Great Lakes, IL. The record was last updated on May 22, 2008.