Adrienne Au, PHARM.D.

Individual provider Active NPI Pharmacist · Hines, IL

NPI 1083981476 · NPPES record last updated Nov 29, 2011

Key facts

NPI
1083981476
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5302038718 (MI)
Practice address
5000 S 5TH Ave
Hines, IL 60141-3030
Phone
(708) 202-8387
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302038718MIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302038718 MI Yes

Addresses

Primary practice location

5000 S 5TH Ave
Hines, IL 60141-3030

Mailing address

5000 S 5TH Ave
Hines, IL 60141-3030

Other providers in Hines, IL

All providers in Hines, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.