Kevin Michael Luitjohan

Pharmacist · Glen Carbon, IL

Individual Active NPI

NPI number 1720689284

Practice location

400 Junction Dr
Glen Carbon, IL 62034-4323
Phone
(618) 659-1395

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NPI record

NPI
1720689284
Entity type
Individual (Type 1)
Enumeration date
November 2, 2020
Last updated
November 2, 2020
Certified
November 2, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051.288098 IL

Mailing address

PO Box 77
Alhambra, IL 62001-0077
Phone
(314) 413-1134

About Kevin Luitjohan

Kevin Michael Luitjohan is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 400 Junction Dr, Glen Carbon, IL 62034-4323. The NPI number 1720689284 was assigned on November 2, 2020 and the record was last updated on November 2, 2020.

Kevin Luitjohan lists a license in the registry: #051.288098 (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 Kevin Michael Luitjohan?

The NPI number is 1720689284.

What is the phone number of Kevin Luitjohan?

The phone number listed for the practice location is (618) 659-1395.

Where is Kevin Luitjohan located?

400 Junction Dr, Glen Carbon, IL 62034-4323.

What is the taxonomy code for Kevin Luitjohan?

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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