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Keith Mierzwa
Pharmacist in Antioch, Illinois
NPI 1043660707

Keith Mierzwa is a Pharmacist based in Antioch, IL. Keith Mierzwa practices in Antioch, IL. The NPI Number for Keith Mierzwa is 1043660707 and holds a License No. 051033283 (Illinois).

The current practice location address for Keith Mierzwa is 966 Route 59, Antioch, IL and can be reached out via phone at 847-395-7101 and via fax at 847-395-3112.

Location: 966 Route 59, Antioch, IL, 60002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043660707
Provider Name
Keith Mierzwa
Credential
Provider Entity Type
Individual
Gender
Male
Address
966 Route 59, Antioch, IL, 60002
Phone Number
847-395-7101
Fax Number
847-395-3112
Provider Enumeration Date
06/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
966 Route 59
City
Antioch
State
Illinois
Zip
60002
Phone Number
847-395-7101
Fax Number
847-395-3112
person
Provider Business Mailing Address Details
Address
966 Route 59
City
Antioch
State
Illinois
Zip
60002
Phone Number
847-395-7101
Fax Number
847-395-3112
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051033283 (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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