Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary A. Otis, RPH

Individual provider Pharmacist · NPI 1134492812

Mrs. Mary A. Otis, RPH is a Pharmacist in Highland, Illinois. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

280 Kingsbury Ct
Highland, IL 62249-2921
Phone: (618) 654-5469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 51-028503 (IL)
Pharmacist Taxonomy 183500000X · Licence 027995 (MO)

Record details

NPI number1134492812
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedFebruary 11, 2012
Last updated in NPPESFebruary 11, 2012

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