Provider Demographics
NPI:1841084035
Name:BANDILLA, MAY MARNE JABINES (PHARMD)
Entity type:Individual
Prefix:
First Name:MAY MARNE
Middle Name:JABINES
Last Name:BANDILLA
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5812 BEECHWOOD DR APT D
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-1535
Mailing Address - Country:US
Mailing Address - Phone:815-668-9748
Mailing Address - Fax:
Practice Address - Street 1:1145 N ALPINE RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-3613
Practice Address - Country:US
Practice Address - Phone:815-398-2443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.306888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist