Individual provider · Type 1 NPI

Shadombria Kelly

Pharmacist · Chicago, IL

NPI number 1710649728 Active

Practice location

1346 E 53rd St
Chicago, IL 60615-4046

Mailing address

3320 Wilcox Ave
Bellwood, IL 60104-2169

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.304309 (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…

2 other providers at this address

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About NPI 1710649728

Shadombria Kelly's National Provider Identifier is 1710649728, issued on Oct 6, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Chicago, IL. The record was last updated on Oct 6, 2021.