Individual provider · Type 1 NPI

Molly Jo Bergman, PharmD

Pharmacist · Carlinville, IL

NPI number 1255967964 Active

Practice location

274 N Broad St
Carlinville, IL 62626-1371

Fax (217) 854-4300

Mailing address

5072 Niemanville Trl
Litchfield, IL 62056-4613

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.299495 (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 1255967964

Molly Jo Bergman, PharmD's National Provider Identifier is 1255967964, issued on Mar 14, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Carlinville, IL. The record was last updated on Mar 14, 2020.