NPI 1306457239

Nicole Walsh, PHARMD

Practitioner Pharmacist Lansing, IL

Practice location

Address: 3564 Ridge Rd, Lansing, IL 60438-3315
Phone: (708) 895-7937

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051.298831 (IL)

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Registry record

NPI: 1306457239
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2020
Record last updated: 13 Aug 2020

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.