Individual provider · Type 1 NPI

Mikendra Wilburn, PharmD

Pharmacist · Richton Park, IL

NPI number 1447853635 Active

Practice location

22401 Central Ave
Richton Park, IL 60471-2062

Mailing address

19524 Lake Lynwood Dr
Lynwood, IL 60411-1421

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X63433 (TX)
Pharmacist Primary 183500000X051297161 (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…

5 other providers at this address

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About NPI 1447853635

Mikendra Wilburn, PharmD's National Provider Identifier is 1447853635, issued on Nov 19, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Richton Park, IL. The record was last updated on Nov 19, 2020.