Provider Demographics
NPI:1467733477
Name:MAYER, VERONICA A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:A
Last Name:MAYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14219 S GREENSBORO CT
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-6117
Mailing Address - Country:US
Mailing Address - Phone:630-768-2425
Mailing Address - Fax:
Practice Address - Street 1:22 N CONSTITUTION DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-3202
Practice Address - Country:US
Practice Address - Phone:630-892-0927
Practice Address - Fax:630-892-3608
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-287983183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist