IndividualActive
Charolette Bodden, CPHT
NPI 1215328489 · Pharmacy Technician · Waukegan, IL
Provider details
- NPI number
- 1215328489
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPHT
- Sex
- Female
- Sole proprietor
- No
- License
- 049173293 (IL)
Practice location
3050 N Lewis Ave
Waukegan, IL 60087-2231
Phone: (847) 599-9079
Fax: (224) 399-4411
Mailing address
3050 N Lewis Ave
Waukegan, IL 60087-2231
Registry dates
- Enumerated
- 2015-02-10
- Last updated
- 2015-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.