Individual provider · Type 1 NPI

Shelley Renee Illingworth, RPH

Pharmacist · Hermon, ME

NPI number 1265721773 Active

Practice location

2402 Route 2 Unit 1
Hermon, ME 04401-0665

Mailing address

720 Central St
Millinocket, ME 04462-1800

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPR4777 (ME)
Pharmacist 183500000XPH23998 (MA)

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 1265721773

Shelley Renee Illingworth, RPH's National Provider Identifier is 1265721773, issued on Apr 5, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hermon, ME. The record was last updated on Jan 28, 2016.