Individual provider · Type 1 NPI

Kathryn Deraedt, RPH

Pharmacist · Forest Park, IL

NPI number 1801496658 Active

Practice location

1300 Des Plaines Ave
Forest Park, IL 60130-2507

Call (708) 771-2238 Map

Fax (708) 771-2284

Mailing address

5041 N Mobile Ave
Chicago, IL 60630-1836

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	051.296891 (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…

3 other providers at this address

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About NPI 1801496658

Kathryn Deraedt, RPH's National Provider Identifier is 1801496658, issued on Oct 30, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Forest Park, IL. The record was last updated on Oct 30, 2020.