Individual provider · Type 1 NPI

Mitchell James Broderick, RPH

Pharmacist · Oak Lawn, IL

NPI number 1316559990 Active

Practice location

4440 W 95th St Ste 201P
Oak Lawn, IL 60453-2600

Fax (708) 857-1965

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.300912 (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 1316559990

Mitchell James Broderick, RPH's National Provider Identifier is 1316559990, issued on Aug 17, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Oak Lawn, IL. The record was last updated on Aug 17, 2020.