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Charles Dylan Keveryn, PHARMD
Pharmacist in Jackson, Mississippi
NPI 1104499243

Charles Dylan Keveryn is a Pharmacist based in Madison, MS. Charles Dylan Keveryn practices in Jackson, MS and has the professional credentials of PHARMD. The NPI Number for Charles Dylan Keveryn is 1104499243 and holds a License No. E-100206 (Mississippi).

The current practice location address for Charles Dylan Keveryn is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-1000.

Location: 2500 N State St, Jackson, MS, 39110-9610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104499243
Provider Name
Charles Dylan Keveryn
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39110-9610
Phone Number
601-984-1000
Fax Number
Provider Enumeration Date
07/16/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E-100206 01 MS PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E-100206 (Mississippi)
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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