Individual provider · Type 1 NPI

Virginia Mattern

Pharmacist · Peoria Heights, IL

NPI number 1932482015 Active

Practice location

1200 E War Memorial Dr
Peoria Heights, IL 61616-7723

Mailing address

814 Grandview Way
Germantown Hills, IL 61548-9139

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051038152 (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 1932482015

Virginia Mattern's National Provider Identifier is 1932482015, issued on Sep 24, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria Heights, IL. The record was last updated on Sep 24, 2011.