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Alisa Nichols, RPH
Pharmacist in Decatur, Illinois
NPI 1336796044

Alisa Nichols is a Pharmacist based in Decatur, IL. Alisa Nichols practices in Decatur, IL and has the professional credentials of RPH. The NPI Number for Alisa Nichols is 1336796044 and holds a License No. 051037047 (Illinois).

The current practice location address for Alisa Nichols is 4625 E Maryland St, Decatur, IL and can be reached out via phone at 217-864-9288.

Location: 4625 E Maryland St, Decatur, IL, 62521-5092
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336796044
Provider Name
Alisa Nichols
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
4625 E Maryland St, Decatur, IL, 62521-5092
Phone Number
217-864-9288
Fax Number
Provider Enumeration Date
08/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051037047 01 IL ILLINOS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
4625 E Maryland St
City
Decatur
State
Illinois
Zip
62521-5092
Phone Number
217-864-9288
Fax Number
person
Provider Business Mailing Address Details
Address
4625 E Maryland St
City
Decatur
State
Illinois
Zip
62521-5092
Phone Number
217-864-9288
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051037047 (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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