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Carl Richard Jordan, RPH
Pharmacist in East Peoria, Illinois
NPI 1356460752

Carl Richard Jordan is a Pharmacist based in East Peoria, IL. Carl Richard Jordan practices in East Peoria, IL and has the professional credentials of RPH. The NPI Number for Carl Richard Jordan is 1356460752 and holds a License No. 051027221 (Illinois).

The current practice location address for Carl Richard Jordan is 302 Harbor Pointe Dr, East Peoria, IL and can be reached out via phone at 309-698-1050.

Location: 302 Harbor Pointe Dr, East Peoria, IL, 61611-5802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356460752
Provider Name
Carl Richard Jordan
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
302 Harbor Pointe Dr, East Peoria, IL, 61611-5802
Phone Number
309-698-1050
Fax Number
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051027221 01 IL PHARMACIST REGISTRATION
institution
Provider Business Practice Location Address Details
Address
302 Harbor Pointe Dr
City
East Peoria
State
Illinois
Zip
61611-5802
Phone Number
309-698-1050
Fax Number
person
Provider Business Mailing Address Details
Address
302 Harbor Pointe Dr
City
East Peoria
State
Illinois
Zip
61611-5802
Phone Number
309-698-1050
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051027221 (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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