May Lo Bewley, BS PHARMACY

Individual provider Active NPI Pharmacist · Hines, IL

NPI 1770748576 · NPPES record last updated Jul 22, 2008

Key facts

NPI
1770748576
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
051-029899 (IL)
Practice address
Fifth Ave and Roosevelt, BLDG 37
Cmop
Hines, IL 60141-5221
Phone
(708) 786-7820
NPI assigned
Jul 22, 2008
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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
051-029899ILMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-029899 IL Yes

Addresses

Primary practice location

Fifth Ave and Roosevelt, BLDG 37
Cmop
Hines, IL 60141-5221

Mailing address

Fifth Ave and Roosevelt Road, BLDG 37
Cmop
Hines, IL 60141-5221
Phone (708) 786-7820

Other providers in Hines, IL

All providers in Hines, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.