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NPI Code Detail

MEDICARE: KELSEY BROOKE LAMARTINA PHARMD

MEDICARE: KELSEY BROOKE LAMARTINA 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
1183500000XPharmacist051.305000IL

General Provider Information

NPI Number : 1467307553
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY BROOKE LAMARTINA PHARMD
Provider Business Mailing Address
First Line : 2425 W THOMAS ST APT 1F
Second Line :
City : CHICAGO
State : IL
Zip : 60622-2603
Country : US
Telephone Number : 630-730-1291
Fax Number :
Provider Business Practice Location Address
First Line : 820 S DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3728
Country : US
Telephone Number : 312-569-7705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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