Individual provider · Type 1 NPI

Mary A. Otis, RPH

Pharmacist · Highland, IL

NPI number 1134492812 Active

Practice location

280 Kingsbury Ct
Highland, IL 62249-2921

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X51-028503 (IL)
Pharmacist 183500000X027995 (MO)

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 1134492812

Mary A. Otis, RPH's National Provider Identifier is 1134492812, issued on Feb 11, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Highland, IL. The record was last updated on Feb 11, 2012.