Individual provider · Type 1 NPI

Amanda Gwen Ketterer, PharmD

Pharmacist · Skokie, IL

NPI number 1679860282 Active

Practice location

5510 Howard St
Skokie, IL 60077-2620

Call (847) 588-7170 Map

Fax (847) 588-7060

Mailing address

123 W Washington Ave, 511
Madison, WI 53703-2782

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X16218-040 (WI)

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 1679860282

Amanda Gwen Ketterer, PharmD's National Provider Identifier is 1679860282, issued on Jul 3, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Skokie, IL. The record was last updated on Jul 3, 2011.