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Jonathan Mata, PHARMD
Pharmacist in Mendota, Illinois
NPI 1184229098

Jonathan Mata is a Pharmacist based in Mendota, IL. Jonathan Mata practices in Mendota, IL and has the professional credentials of PHARMD. The NPI Number for Jonathan Mata is 1184229098 and holds a License No. 051291928 (Illinois).

The current practice location address for Jonathan Mata is 1212 13Th Ave, Mendota, IL and can be reached out via phone at 815-538-2095. You can also correspond with Jonathan Mata through the mailing address at 1212 13TH AVE, MENDOTA, IL - 61342-1411 (mailing address contact number: ).

Location: 1212 13Th Ave, Mendota, IL, 61342-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184229098
Provider Name
Jonathan Mata
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1212 13Th Ave, Mendota, IL, 61342-1411
Phone Number
815-538-2095
Fax Number
Provider Enumeration Date
12/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1212 13Th Ave
City
Mendota
State
Illinois
Zip
61342-1411
Phone Number
815-538-2095
Fax Number
person
Provider Business Mailing Address Details
Address
1212 13Th Ave
City
Mendota
State
Illinois
Zip
61342-1411
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051291928 (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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