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Enrico Bertucci JR., RPH
Pharmacist in Cahokia, Illinois
NPI 1255936043

Enrico Bertucci JR. is a Pharmacist based in Cahokia, IL. Enrico Bertucci JR. practices in Cahokia, IL and has the professional credentials of RPH. The NPI Number for Enrico Bertucci JR. is 1255936043 and holds a License No. 051035190 (Illinois).

The current practice location address for Enrico Bertucci JR. is 1201 Camp Jackson Rd, Cahokia, IL and can be reached out via phone at 618-332-2904 and via fax at 618-332-2471.

Location: 1201 Camp Jackson Rd, Cahokia, IL, 62206-2231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255936043
Provider Name
Enrico Bertucci JR.
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1201 Camp Jackson Rd, Cahokia, IL, 62206-2231
Phone Number
618-332-2904
Fax Number
618-332-2471
Provider Enumeration Date
12/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 Camp Jackson Rd
City
Cahokia
State
Illinois
Zip
62206-2231
Phone Number
618-332-2904
Fax Number
618-332-2471
person
Provider Business Mailing Address Details
Address
1201 Camp Jackson Rd
City
Cahokia
State
Illinois
Zip
62206-2231
Phone Number
618-332-2904
Fax Number
618-332-2471
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051035190 (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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