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Jason Waggoner, RPH
Pharmacist in Mattoon, Illinois
NPI 1033713524

Jason Waggoner is a Pharmacist based in Mattoon, IL. Jason Waggoner practices in Mattoon, IL and has the professional credentials of RPH. The NPI Number for Jason Waggoner is 1033713524 and holds a License No. 051-289951 (Illinois).

The current practice location address for Jason Waggoner is 1316 Charleston Ave, Mattoon, IL and can be reached out via phone at 217-258-2920. You can also correspond with Jason Waggoner through the mailing address at 1316 CHARLESTON AVE, MATTOON, IL - 61938-4016 (mailing address contact number: 217-258-2920).

Location: 1316 Charleston Ave, Mattoon, IL, 61938-4016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033713524
Provider Name
Jason Waggoner
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1316 Charleston Ave, Mattoon, IL, 61938-4016
Phone Number
217-258-2920
Fax Number
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1316 Charleston Ave
City
Mattoon
State
Illinois
Zip
61938-4016
Phone Number
217-258-2920
Fax Number
person
Provider Business Mailing Address Details
Address
1316 Charleston Ave
City
Mattoon
State
Illinois
Zip
61938-4016
Phone Number
217-258-2920
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051-289951 (Illinois)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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