IndividualActive
Priyatma Wirth, PHARM.D.
NPI 1659537934 · Geriatric Pharmacist · Hines, IL
Provider details
- NPI number
- 1659537934
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 051292065 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
5000 S 5th Ave
Building 217, Room 2b7
Hines, IL 60141-3030
Phone: (708) 202-2134
Approximate (ZIP-level) locationGet directions
Mailing address
214 Northwood Rd
Riverside, IL 60546-1834
Registry dates
- Enumerated
- 2008-08-05
- Last updated
- 2023-11-07
- Certified
- 2023-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.