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Jovante Antwon Wallace, PHARMD
Pharmacist in Lombard, Illinois
NPI 1063175842

Jovante Antwon Wallace is a Pharmacist based in Lombard, IL. Jovante Antwon Wallace practices in Lombard, IL and has the professional credentials of PHARMD. The NPI Number for Jovante Antwon Wallace is 1063175842 and holds a License No. 19222-40 (Illinois).

The current practice location address for Jovante Antwon Wallace is 83 Oakton Dr, Lombard, IL and can be reached out via phone at 904-423-7863.

Location: 83 Oakton Dr, Lombard, IL, 60148-7105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063175842
Provider Name
Jovante Antwon Wallace
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
83 Oakton Dr, Lombard, IL, 60148-7105
Phone Number
904-423-7863
Fax Number
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
83 Oakton Dr
City
Lombard
State
Illinois
Zip
60148-7105
Phone Number
904-423-7863
Fax Number
person
Provider Business Mailing Address Details
Address
83 Oakton Dr
City
Lombard
State
Illinois
Zip
60148-7105
Phone Number
904-423-7863
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
19222-40 (Wisconsin)
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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