NPI 1457177529

Dominika Maria Tylka

Practitioner Pharmacy Technician Lockport, IL

Practice location

Address: 16750 W 159th St, Lockport, IL 60441-7968
Phone: (815) 834-1351
Mailing address: 14421 Dixon Ln, Homer Glen, IL 60491-9306

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1457177529
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2024
Record last updated: 22 Nov 2024

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.