MEDICARE: BETSY DUNLOP 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	1835P1200X	Pharmacotherapy Pharmacist	051.296102	IL

General Provider Information

NPI Number	:	1366852055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETSY DUNLOP PHARMD

Provider Business Mailing Address
First Line	:	1301 MEIJER DR
Second Line	:
City	:	ROLLING MEADOWS
State	:	IL
Zip	:	60008-4205
Country	:	US
Telephone Number	:	847-690-1210
Fax Number	:	847-690-0265

Provider Business Practice Location Address
First Line	:	1301 MEIJER DR
Second Line	:
City	:	ROLLING MEADOWS
State	:	IL
Zip	:	60008-4205
Country	:	US
Telephone Number	:	847-690-1210
Fax Number	:	847-690-0265

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

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	05/02/2014

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