IndividualActive
Kourtney Fermanich, PHARM D
NPI 1679088124 · Compounded Sterile Preparations Pharmacist · Hines, IL
Provider details
- NPI number
- 1679088124
- Entity type
- Individual
- Primary specialty
- Compounded Sterile Preparations PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- No
- License
- 05130055 (IL)
Mailing address
4704 Rainbow Rdg
Rockford, IL 61109-3536
Registry dates
- Enumerated
- 2017-12-06
- Last updated
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.