Michael Ma, Pharm.D.
Pharmacist in Northbrook, IL. Individual provider (NPI-1).
NPI number1316004385
StatusActive
Last updated in NPPESOct 17, 2011
Details
- NPI
- 1316004385
- Entity type
- Individual (NPI-1)
- Name
- Michael Ma
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2007
- Last updated
- Oct 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051288705 | IL | Yes |
| 1835N0905X | Pharmacist, Nuclear | 55576 | CA |
Practice location
707 Skokie BlvdSuite 600
Northbrook, IL 60062-2857
Phone 708-362-9860
Mailing address
321 25th AveBellwood, IL 60104-1517
Phone 708-362-9860 · Fax 847-291-8492
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