Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK SLY, PHARMD
Active Sole ProprietorMARK SLY, PHARMD is a Geriatric Pharmacist healthcare provider located in BLOOMINGTON, Illinois. NPI 1679848618 is currently active in the NPPES registry. Verify at CMS.
Geriatric Pharmacist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1679848618
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2012 (14.24668943298 yrs)
- Last Updated
- Mar 8, 2012
- License
-
051295174 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
403 N VETERANS PKWYBLOOMINGTON, IL, 617047718Browse IL providers · Browse ZIP 61704
- Phone
- 3096638852
- Primary Specialty
-
Geriatric Pharmacist
1835G0303X
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.