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MARK SLY PHARMD NPI 1679848618


NPI Information

NPI: 1679848618
Provider Name: MARK SLY, PHARMD
Classification: Pharmacist - 1835G0303X
Entity Type: Individual

Specialization: Geriatric

Address:
403 N VETERANS PKWY
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 663-8852
Get Directions

Mark Sly, PHARMD is a geriatric pharmacist in Bloomington, IL. The provider is a pharmacist who is certified in geriatric pharmacy practice is designated as a Certified Geriatric Pharmacist (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. Mark Sly, PHARMD NPI is 1679848618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

403 N VETERANS PKWY
BLOOMINGTON, IL
ZIP 61704-718
Phone: (309) 663-8852

The enumeration date for this NPI number is 3/8/2012 and was last updated on 3/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835G0303XPharmacistGeriatric051295174ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.