Individual provider · Type 1 NPI

Diane Michelle Blue, RPH

Pharmacist · O Fallon, IL

NPI number 1194201160 Active

Practice location

907 E Highway 50
O Fallon, IL 62269-2856

Call (618) 632-9873 Map

Fax (618) 632-0729

Mailing address

1225 Shadow Ridge Xing
O Fallon, IL 62269-3119

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051287796 (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 1194201160

Diane Michelle Blue, RPH's National Provider Identifier is 1194201160, issued on Jul 12, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in O Fallon, IL. The record was last updated on Jul 12, 2018.