IndividualActive
Gracie Tate, PHARMD
NPI 1942809983 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Anna, IL
Provider details
- NPI number
- 1942809983
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 051.303367 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
45 Plaza Dr
Anna, IL 62906-2034
Phone: (618) 833-4521
Approximate (ZIP-level) locationGet directions
Mailing address
45 Plaza Dr
Anna, IL 62906-2034
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.