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Jacob Fredericks
Pharmacist in Springfield, Illinois
NPI 1356066120

Jacob Fredericks is a Pharmacist based in Gillespie, IL. Jacob Fredericks practices in Springfield, IL. The NPI Number for Jacob Fredericks is 1356066120 and holds a License No. 051.304276 (Illinois).

The current practice location address for Jacob Fredericks is 3100 S Macarthur Blvd, Springfield, IL and can be reached out via phone at 217-528-4926.

Location: 3100 S Macarthur Blvd, Springfield, IL, 62033-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356066120
Provider Name
Jacob Fredericks
Credential
Provider Entity Type
Individual
Gender
Male
Address
3100 S Macarthur Blvd, Springfield, IL, 62033-1240
Phone Number
217-528-4926
Fax Number
Provider Enumeration Date
10/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 S Macarthur Blvd
City
Springfield
State
Illinois
Zip
62704-5800
Phone Number
217-528-4926
Fax Number
person
Provider Business Mailing Address Details
Address
3100 S Macarthur Blvd
City
Springfield
State
Illinois
Zip
62704-5800
Phone Number
217-528-4926
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051.304276 (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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