Provider Demographics
NPI:1477686053
Name:HARDY, YOLANDA M (PHARMD)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:M
Last Name:HARDY
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 1:9501 S KING DR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-1501
Mailing Address - Country:US
Mailing Address - Phone:773-821-2153
Mailing Address - Fax:
Practice Address - Street 1:9501 S KING DR
Practice Address - Street 2:206 DOUGLAS HALL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-1501
Practice Address - Country:US
Practice Address - Phone:773-821-2153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.2926111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist