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Ethan Vandersand
Pharmacist in Jerseyville, Illinois
NPI 1316297088

Ethan Vandersand is a Pharmacist based in White Hall, IL. Ethan Vandersand practices in Jerseyville, IL. The NPI Number for Ethan Vandersand is 1316297088 and holds a License No. 051-289033 (Illinois).

The current practice location address for Ethan Vandersand is 400A W Carpenter St, Jerseyville, IL and can be reached out via phone at 618-498-6461.

Location: 400A W Carpenter St, Jerseyville, IL, 62092-9713
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Provider Profile Details
NPI Number
1316297088
Provider Name
Ethan Vandersand
Credential
Provider Entity Type
Individual
Gender
Male
Address
400A W Carpenter St, Jerseyville, IL, 62092-9713
Phone Number
618-498-6461
Fax Number
Provider Enumeration Date
09/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400A W Carpenter St
City
State
Zip
62052-2522
Phone Number
618-498-6461
Fax Number
person
Provider Business Mailing Address Details
Address
400A W Carpenter St
City
State
Zip
62052-2522
Phone Number
618-498-6461
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
051-289033 (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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