Dr. Chad Kodiak, PharmD, RPh
Pharmacist in Joliet, IL. Individual provider (NPI-1).
NPI number1669068813
StatusActive
Last updated in NPPESDec 11, 2020
Details
- NPI
- 1669068813
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chad Kodiak
- Credential
- PharmD, RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2020
- Certification date
- Dec 11, 2020
- Last updated
- Dec 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051287112 | IL | Yes |
Practice location
221 Springfield AveJoliet, IL 60435-7653
Phone 815-727-4722 · Fax 815-727-4731
Mailing address
221 Springfield AveJoliet, IL 60435-7653
Phone 815-727-4722 · Fax 815-727-4731
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