NPI 1174957039

Gabrielle Brittany Wells, PHARMD

Practitioner Pharmacist Homewood, IL

Practice location

Address: 17605 Halsted St, Homewood, IL 60430-2007
Phone: (708) 335-5255

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051296949 (IL)

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Registry record

NPI: 1174957039
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2013
Record last updated: 28 Aug 2013

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.