IndividualActive
Amanda Bourdon, PHARMD
NPI 1336740729 · Pharmacist · Macomb, IL
Provider details
- NPI number
- 1336740729
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 051301705 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1730 E Jackson St
Macomb, IL 61455-2531
Phone: (309) 833-1456
Approximate (ZIP-level) locationGet directions
Mailing address
112 James Dr
Macomb, IL 61455-3302
Registry dates
- Enumerated
- 2020-11-03
- Last updated
- 2020-11-05
- Certified
- 2020-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.