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Dr. Jerald Grant Sisemore JR., PHARMD
Pharmacist in Lago Vista, Texas
NPI 1114522265

Jerald Grant Sisemore JR. is a Pharmacist based in Lago Vista, TX. Jerald Grant Sisemore JR. practices in Lago Vista, TX and has the professional credentials of PHARMD. The NPI Number for Jerald Grant Sisemore JR. is 1114522265 and holds a License No. 43621 (Texas).

The current practice location address for Jerald Grant Sisemore JR. is 20601 Fm 1431, Lago Vista, TX and can be reached out via phone at 512-267-8010 and via fax at 512-267-8016.

Location: 20601 Fm 1431, Lago Vista, TX, 78645-4505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114522265
Provider Name
Jerald Grant Sisemore JR.
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
20601 Fm 1431, Lago Vista, TX, 78645-4505
Phone Number
512-267-8010
Fax Number
512-267-8016
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20601 Fm 1431
City
Lago Vista
State
Texas
Zip
78645-4505
Phone Number
512-267-8010
Fax Number
512-267-8016
person
Provider Business Mailing Address Details
Address
20601 Fm 1431
City
Lago Vista
State
Texas
Zip
78645-4505
Phone Number
512-267-8010
Fax Number
512-267-8016
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
43621 (Texas)
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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