Provider Demographics
NPI:1568068062
Name:RAUGHLEY, BOBBIANN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BOBBIANN
Middle Name:
Last Name:RAUGHLEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 INDIAN HILL LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-3639
Mailing Address - Country:US
Mailing Address - Phone:630-748-9844
Mailing Address - Fax:
Practice Address - Street 1:8911 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:IL
Practice Address - Zip Code:60513-2005
Practice Address - Country:US
Practice Address - Phone:708-485-5130
Practice Address - Fax:708-485-5865
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051299574183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty