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Dr. Michael Jesse Verdugo, PHARMD,MS
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Shenandoah Junction, West Virginia
NPI 1336231711

Michael Jesse Verdugo is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Shenandoah Junction, WV and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Michael Jesse Verdugo practices in Shenandoah Junction, WV and has the professional credentials of PHARMD,MS. The NPI Number for Michael Jesse Verdugo is 1336231711 and holds a License No. LASAC-15283 (West Virginia).

The current practice location address for Michael Jesse Verdugo is 283 Haybine Drive, Shenandoah Junction, WV and can be reached out via phone at 520-440-6396.

Location: 283 Haybine Drive, Shenandoah Junction, WV, 25442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336231711
Provider Name
Michael Jesse Verdugo
Credential
PHARMD,MS
Provider Entity Type
Individual
Gender
Male
Address
283 Haybine Drive, Shenandoah Junction, WV, 25442
Phone Number
520-440-6396
Fax Number
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119588 01 MN PHARMACIST LICENSE
APH-10147 01 CA ADVANCED PRACTICE PHARMACIST LICENSE
12494 01 AZ PHARMACIST LICENSE
6179 01 WV PHARMACIST LICENSE
LASAC-15283 01 AZ ASSOCIATE SUBSTANCE ABUSE COUNSELOR
474690000 05 MN
51262 01 CA PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
283 Haybine Drive
City
Shenandoah Junction
State
West Virginia
Zip
25442
Phone Number
520-440-6396
Fax Number
person
Provider Business Mailing Address Details
Address
283 Haybine Drive
City
Shenandoah Junction
State
West Virginia
Zip
25442
Phone Number
520-440-6396
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6179 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
119588 (Minnesota)
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.
person
Provider's Taxonomy Details 3
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
LASAC-15283 (Arizona)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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