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NPI Code Detail

MEDICARE: CARLA NADRA BAGGETT PHARMD

MEDICARE: CARLA NADRA BAGGETT 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
1183500000XPharmacist051306685IL

General Provider Information

NPI Number : 1851198568
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA NADRA BAGGETT PHARMD
Provider Business Mailing Address
First Line : 7120 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60629-2010
Country : US
Telephone Number : 773-682-2526
Fax Number :
Provider Business Practice Location Address
First Line : 7120 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60629-2010
Country : US
Telephone Number : 773-682-2526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2025
Last Update Date : 03/23/2025

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Directions to “ CARLA NADRA BAGGETT PHARMD” Practice Location

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