NPI 1174229694

Acquella Brigham, PHARMD

Practitioner Pharmacist Homewood, IL

Practice location

Address: 3153 183rd St, Homewood, IL 60430-2806
Phone: (708) 799-8411
Mailing address: 639 E Glenwood Lansing Rd APT 1b, Glenwood, IL 60425-1955

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051305287 (IL)

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Registry record

NPI: 1174229694
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2023
Record last updated: 6 Feb 2023

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.