Coreliss Blue, PHARMD
Pharmacist · Normal, IL
Practice location
2151 Shepard RdNormal, IL 61761-6414
- Phone
- (309) 454-5478
NPI record
- NPI
- 1366045692
- Entity type
- Individual (Type 1)
- Enumeration date
- November 19, 2020
- Last updated
- November 19, 2020
- Certified
- November 16, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
051300484 | IL |
About Dr. Blue
Coreliss Blue, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2151 Shepard Rd, Normal, IL 61761-6414. The NPI number 1366045692 was assigned on November 19, 2020 and the record was last updated on November 19, 2020.
Dr. Blue lists a license in the registry: #051300484 (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 Coreliss Blue, PHARMD?
The NPI number is 1366045692.
What is the phone number of Dr. Blue?
The phone number listed for the practice location is (309) 454-5478.
Where is Dr. Blue located?
2151 Shepard Rd, Normal, IL 61761-6414.
What is the taxonomy code for Dr. Blue?
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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