Gomez Martinez, Liancy Amanda

Gomez Martinez, Liancy Amanda is an individual health care provider with primary practice located at 5000 South Fifth Avenue , Hines IL 60141. She recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Geriatric is her primary health care specialty. Gomez Martinez, Liancy Amanda can be contacted via phone (708) 202-8387.

Contact Information

Primary practice address
5000 South Fifth Avenue Hines IL 60141
Phone: (708) 202-8387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051289775 Illinois
Pharmacy Service Providers / Geriatric 1835G0303X 9101816 Illinois
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 305006608 Illinois

Profile Details

NPI number 1679665012
LBN Legal business name Gomez Martinez, Liancy Amanda
Credentials PHARM.D., BCPS, BCGP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Nov 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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