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Dr. Priyatma Wirth, PHARMD
Geriatric Pharmacist in Hines, Illinois
NPI 1659537934

Priyatma Wirth is a Geriatric Pharmacist based in Riverside, IL and is specialized in Geriatric. Priyatma Wirth practices in Hines, IL and has the professional credentials of PHARMD. The NPI Number for Priyatma Wirth is 1659537934 and holds a License No. 051292065 (Illinois).

The current practice location address for Priyatma Wirth is 5000 S 5Th Ave, Hines, IL and can be reached out via phone at 708-202-2134.

Location: 5000 S 5Th Ave, Hines, IL, 60546-1834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659537934
Provider Name
Priyatma Wirth
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
5000 S 5Th Ave, Hines, IL, 60546-1834
Phone Number
708-202-2134
Fax Number
Provider Enumeration Date
08/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5000 S 5Th Ave
City
Hines
State
Illinois
Zip
60141-3030
Phone Number
708-202-2134
Fax Number
person
Provider Business Mailing Address Details
Address
5000 S 5Th Ave
City
Hines
State
Illinois
Zip
60141-3030
Phone Number
708-202-2134
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Geriatric
Taxonomy
1835G0303X
License No.
051292065 (Illinois)
Definition
A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
051292065 (Illinois)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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