Individual provider · Type 1 NPI

Christopher Sean Vanmanivong, PharmD

Pharmacist · Rockford, IL

NPI number 1861086704 Active

Practice location

6410 E State St
Rockford, IL 61108-3008

Call (815) 397-2127 Map

Mailing address

6428 Willowick Ct
Rockford, IL 61108-1590

Other practice locations

  • 6428 Willowick Ct, Rockford, IL 61108-1590 · (815) 721-5206

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051303431 (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…

10 other providers at this address

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About NPI 1861086704

Christopher Sean Vanmanivong, PharmD's National Provider Identifier is 1861086704, issued on Feb 22, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rockford, IL. The record was last updated on Mar 15, 2021.