NPI 1053692269

Theresa Rose Malvar, PHARMD

Practitioner Pharmacist Libertyville, IL

Practice location

Address: 1470 S Milwaukee Ave, Libertyville, IL 60048-3796
Phone: (847) 247-0682
Mailing address: 2507 Osage Dr, Glenview, IL 60026-1037

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051.291298 (IL)

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Registry record

NPI: 1053692269
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2011
Record last updated: 1 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.