NPI 1215251194

Jacqueline J Mai, RPH

Practitioner Pharmacist Montgomery, IL

Practice location

Address: 1900 Douglas Rd, Montgomery, IL 60538-2419
Phone: (630) 896-3000
Fax: (630) 896-2056
Mailing address: 28w117 87th St, Naperville, IL 60564-9604

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051037326 (IL)

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Registry record

NPI: 1215251194
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2010
Record last updated: 21 Mar 2010

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.