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NPI 1679665012

IndividualActive

Liancy Gomez Martinez, PHARM.D., BCPS, BCGP

NPI 1679665012 · Geriatric Pharmacist · Hines, IL

Provider details

NPI number: 1679665012
Entity type: Individual
Primary specialty: Geriatric PharmacistPharmacy Service Providers
Credential: PHARM.D., BCPS, BCGP
Sex: Female
Sole proprietor: No
License: 051289775 (IL)

Practice location

5000 South Fifth Avenue

Hines, IL 60141

Phone: (708) 202-8387

More IL providers

Mailing address

5000 S 5th Ave # 119

Hines, IL 60141-3030

Registry dates

Enumerated: 2006-09-29
Last updated: 2025-11-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Liancy Gomez Martinez, PHARM.D., BCPS, BCGP — NPI 1679665012, Hines, IL | NPI Central