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Justin Douglas Mckinnie
Pharmacist in Mattoon, Illinois
NPI 1154923084

Justin Douglas Mckinnie is a Pharmacist based in Mattoon, IL. Justin Douglas Mckinnie practices in Mattoon, IL. The NPI Number for Justin Douglas Mckinnie is 1154923084 and holds a License No. 051292076 (Illinois).

The current practice location address for Justin Douglas Mckinnie is 101 Dettro Dr, Mattoon, IL and can be reached out via phone at 217-258-6313. You can also correspond with Justin Douglas Mckinnie through the mailing address at 9854 N COUNTY ROAD 000E, MATTOON, IL - 61938-6505 (mailing address contact number: ).

Location: 101 Dettro Dr, Mattoon, IL, 61938-6505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154923084
Provider Name
Justin Douglas Mckinnie
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Dettro Dr, Mattoon, IL, 61938-6505
Phone Number
217-258-6313
Fax Number
Provider Enumeration Date
11/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Dettro Dr
City
Mattoon
State
Illinois
Zip
61938-9044
Phone Number
217-258-6313
Fax Number
person
Provider Business Mailing Address Details
Address
9854 N County Road 000E
City
Mattoon
State
Illinois
Zip
61938-6505
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051292076 (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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