Organization · Type 2 NPI
Pinnacle Dermatology, SC
Non-Pharmacy Dispensing Site · Bourbonnais, IL
NPI number
1972274777
Active
Practice location
595 William Latham Dr
Bourbonnais, IL 60914-2319
Mailing address
5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
About NPI 1972274777
Pinnacle Dermatology, SC's National Provider Identifier is 1972274777, issued on Sep 22, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Bourbonnais, IL. The record was last updated on Sep 22, 2021.