Healthcare Provider Details

I. General information

NPI: 1508745126
Provider Name (Legal Business Name): LISA ANN SIKORSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 S PRICE RD
CHANDLER AZ
85286-7201
US

IV. Provider business mailing address

2225 S PRICE RD
CHANDLER AZ
85286-7201
US

V. Phone/Fax

Practice location:
  • Phone: 847-527-4274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS11033
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: