MEDICARE: DR. CAROLINE LOCKER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03237181	OH
2	183500000X	Pharmacist	051.300546	IL

General Provider Information

NPI Number	:	1235754623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE LOCKER PHARMD

Provider Business Mailing Address
First Line	:	4231 CHINABERRY LN
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-1194
Country	:	US
Telephone Number	:	630-552-3104
Fax Number	:

Provider Business Practice Location Address
First Line	:	6800 W US HIGHWAY 34
Second Line	:
City	:	PLANO
State	:	IL
Zip	:	60545-9607
Country	:	US
Telephone Number	:	630-552-3104
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	06/11/2020

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Directions to “ DR. CAROLINE LOCKER PHARMD” Practice Location

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