Dr. Mariscelle M. Sales, Pharm.D.
Pharmacist in Hines, IL. Individual provider (NPI-1).
NPI number1700965670
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700965670
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mariscelle M. Sales
- Credential
- Pharm.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 51287877 | IL | Yes |
Practice location
Va Pbm/Shg (119d), 1st Ave - 1 Block North Of Cermak RdBuilding 37, Room 139
Hines, IL 60141
Phone 708-786-7862
Mailing address
8849 S Washtenaw AveEvergreen Park, IL 60805-1134
Phone 708-423-8835
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