Individual provider · Type 1 NPI

Coreliss Blue, PharmD

Pharmacist · Normal, IL

NPI number 1366045692 Active

Practice location

2151 Shepard Rd
Normal, IL 61761-6414

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051300484 (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 1366045692

Coreliss Blue, PharmD's National Provider Identifier is 1366045692, issued on Nov 19, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Normal, IL. The record was last updated on Nov 19, 2020.