Individual provider · Type 1 NPI
Linda Marie Sewell Wilson, RPH, PharmD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Peoria, IL
NPI number
1457573305
Active
Practice location
801 W Lake Ave Ste 1A
Peoria, IL 61614-5995
Fax (309) 682-3128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | 051290140 (IL) |
| Pharmacist | 183500000X | 051290140 (IL) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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About NPI 1457573305
Linda Marie Sewell Wilson, RPH, PharmD's National Provider Identifier is 1457573305, issued on May 2, 2007. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Peoria, IL. The record was last updated on Jun 27, 2026.