Amanda Bourdon, PHARMD

Pharmacist · Macomb, IL

Individual Active NPI

NPI number 1336740729

Practice location

1730 E Jackson St
Macomb, IL 61455-2531
Phone
(309) 833-1456

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NPI record

NPI
1336740729
Entity type
Individual (Type 1)
Enumeration date
November 3, 2020
Last updated
November 5, 2020
Certified
November 5, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051301705 IL

Mailing address

112 James Dr
Macomb, IL 61455-3302
Phone
(847) 863-5502

About Dr. Bourdon

Amanda Bourdon, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1730 E Jackson St, Macomb, IL 61455-2531. The NPI number 1336740729 was assigned on November 3, 2020 and the record was last updated on November 5, 2020.

Dr. Bourdon lists a license in the registry: #051301705 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Bourdon, PHARMD?

The NPI number is 1336740729.

What is the phone number of Dr. Bourdon?

The phone number listed for the practice location is (309) 833-1456.

Where is Dr. Bourdon located?

1730 E Jackson St, Macomb, IL 61455-2531.

What is the taxonomy code for Dr. Bourdon?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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