IndividualActive
Brycen Short, PHARM.D.
NPI 1891391033 · Pharmacist · Olney, IL
Provider details
- NPI number
- 1891391033
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 051293407 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1029 E Main St
Olney, IL 62450-2625
Phone: (618) 395-2144
Approximate (ZIP-level) locationGet directions
Mailing address
1029 E Main St
Olney, IL 62450-2625
Registry dates
- Enumerated
- 2020-12-10
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.