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Jeffrey Alan Wildern
Pharmacist in Charlotte, Michigan
NPI 1053942102

Jeffrey Alan Wildern is a Pharmacist based in Charlotte, MI. Jeffrey Alan Wildern practices in Charlotte, MI. The NPI Number for Jeffrey Alan Wildern is 1053942102 and holds a License No. 5302021355 (Michigan).

The current practice location address for Jeffrey Alan Wildern is 301 S Cochran Ave, Charlotte, MI and can be reached out via phone at 517-543-4905.

Location: 301 S Cochran Ave, Charlotte, MI, 48813-0074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053942102
Provider Name
Jeffrey Alan Wildern
Credential
Provider Entity Type
Individual
Gender
Male
Address
301 S Cochran Ave, Charlotte, MI, 48813-0074
Phone Number
517-543-4905
Fax Number
Provider Enumeration Date
01/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5302021355 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
301 S Cochran Ave
City
Charlotte
State
Michigan
Zip
48813-1518
Phone Number
517-543-4905
Fax Number
person
Provider Business Mailing Address Details
Address
301 S Cochran Ave
City
Charlotte
State
Michigan
Zip
48813-1518
Phone Number
517-543-4905
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302021355 (Michigan)
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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