Individual provider · Type 1 NPI

Keri Lynn Willoughby, PharmD

Pharmacist · Rockford, IL

NPI number 1619231503 Active

Practice location

209 9th St, Suite 200
Rockford, IL 61104-2235

Mailing address

11653 Waidi Ave
Machesney Park, IL 61115-1032

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.292879 (IL)
Pharmacist 183500000X18251 (NV)

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 1619231503

Keri Lynn Willoughby, PharmD's National Provider Identifier is 1619231503, issued on Jun 26, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rockford, IL. The record was last updated on Jun 26, 2012.