Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIELLE MANGRUM, PHARMD
ActiveAmbulatory Care Pharmacist · SCOTT AFB, IL
Registration Details
- NPI Number
- 1477050714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2018 (8.0266937442144 yrs)
- Last Updated
- Mar 10, 2022
- License
-
051298004 (IL)
Practice Information
- Address
-
310 W LOSEY STSCOTT AFB, IL, 622255250Browse IL providers · Browse ZIP 62225
- Phone
- 6182567374
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.