Olivia B Montgomery, LPHT
Individual provider Active NPI Pharmacy Technician · Christopher, IL
NPI 1245892371 · NPPES record last updated Jun 28, 2019
Key facts
- NPI
- 1245892371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 049255601 (IL)
- Practice address
- 4241 Highway 14 W
Christopher, IL 62822-1037 - Phone
- (618) 724-2401
- NPI assigned
- Jun 28, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049255601 | IL | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 049255601 | IL | Yes |
Addresses
Primary practice location
4241 Highway 14 W
Christopher, IL 62822-1037
Mailing address
4241 Highway 14 W
Christopher, IL 62822-1037
Other providers in Christopher, IL
- Cynthia A Metcalf
- Elizabeth A Michaels
- Sarah Miner
- Gayla S Mitchell
- Lori Mohr
- Brittany Morris
- Frances Fischer Morris
- Robert Moskoff
- Frederica Jo Nanni
- Dennis B. Nelson
All providers in Christopher, IL · Pharmacy Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.