NPI 1386085645

Samantha Rose Tasic, PHARMD

Practitioner Pharmacist Elburn, IL

Practice location

Address: 1001 N Main St, Elburn, IL 60119-9118
Phone: (630) 365-9176
Mailing address: 421 Concord Ave, Fox River Grove, IL 60021-1814

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051296599 (IL)

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Registry record

NPI: 1386085645
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2013
Record last updated: 15 Jul 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.