NPI 1104417336 · live from the CMS NPI Registry
Holly Marie Acree, CPhT
Pharmacy Technician in Bloomington, IL. National Provider Identifier 1104417336, active.
NPI record
| NPI | 1104417336 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy Technician 183700000X |
| Practice location | 2225 W Market St, Bloomington, IL 61705 |
| Practice phone | 309-828-8626 |
| Mailing address | 417 Greenbriar Dr Apt 3, Normal, IL 61761 |
| Enumerated | January 30, 2021 |
| Last updated | January 30, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Technician | 183700000X | 67031856A (IN) |
| Pharmacy Technician primary | 183700000X | 049274554 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.