Individual provider · Type 1 NPI

Ma Lea Kerkstra, RPH

Pharmacist · Oak Forest, IL

NPI number 1902354491 Active

Practice location

15900 S Cicero Ave
Oak Forest, IL 60452

Mailing address

11725 Long Run Dr
Orland Park, IL 60467-1398

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051288182 (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…

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About NPI 1902354491

Ma Lea Kerkstra, RPH's National Provider Identifier is 1902354491, issued on Sep 14, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Oak Forest, IL. The record was last updated on Sep 14, 2016.