Provider Demographics
NPI:1801197041
Name:KLIER, ANNIE L (RPH)
Entity Type:Individual
Prefix:MS
First Name:ANNIE
Middle Name:L
Last Name:KLIER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6931 DEMPSTER ST
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2630
Mailing Address - Country:US
Mailing Address - Phone:847-965-3361
Mailing Address - Fax:847-583-1775
Practice Address - Street 1:6931 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2630
Practice Address - Country:US
Practice Address - Phone:847-965-3361
Practice Address - Fax:847-583-1775
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.036799183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist