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Jordan Malik Grant
Pharmacist in Champaign, Illinois
NPI 1124893474

Jordan Malik Grant is a Pharmacist based in Champaign, IL. Jordan Malik Grant practices in Champaign, IL. The NPI Number for Jordan Malik Grant is 1124893474 and holds a License No. 051305983 (Illinois).

The current practice location address for Jordan Malik Grant is 1713 W Springfield Ave, Champaign, IL and can be reached out via phone at 217-356-2529.

Location: 1713 W Springfield Ave, Champaign, IL, 61821-3011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124893474
Provider Name
Jordan Malik Grant
Credential
Provider Entity Type
Individual
Gender
Male
Address
1713 W Springfield Ave, Champaign, IL, 61821-3011
Phone Number
217-356-2529
Fax Number
Provider Enumeration Date
11/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1713 W Springfield Ave
City
Champaign
State
Illinois
Zip
61821-3011
Phone Number
217-356-2529
Fax Number
person
Provider Business Mailing Address Details
Address
1713 W Springfield Ave
City
Champaign
State
Illinois
Zip
61821-3011
Phone Number
217-356-2529
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051305983 (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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