Individual
MRS. KELLY ANNE MARINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
555 S RAND RD, T-1036, LAKE ZURICH, IL 60047-2356
(847) 726-2584
(847) 726-2584
Mailing address
555 S RAND RD, T-1036, LAKE ZURICH, IL 60047-2356
(847) 726-2584
(847) 726-2584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289620
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410215170036
—
IL
Enumeration date
06/15/2011
Last updated
06/15/2011
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