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Jaclynn R Laviolette
Pharmacist in Niles, Michigan
NPI 1437759636

Jaclynn R Laviolette is a Pharmacist based in South Bend, MI. Jaclynn R Laviolette practices in Niles, MI. The NPI Number for Jaclynn R Laviolette is 1437759636 and holds a License No. 5302029320 (Michigan).

The current practice location address for Jaclynn R Laviolette is 2107 S 11Th St, Niles, MI and can be reached out via phone at 269-683-5573.

Location: 2107 S 11Th St, Niles, MI, 46637-2417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437759636
Provider Name
Jaclynn R Laviolette
Credential
Provider Entity Type
Individual
Gender
Female
Address
2107 S 11Th St, Niles, MI, 46637-2417
Phone Number
269-683-5573
Fax Number
Provider Enumeration Date
10/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2107 S 11Th St
City
Niles
State
Michigan
Zip
49120-4060
Phone Number
269-683-5573
Fax Number
person
Provider Business Mailing Address Details
Address
2107 S 11Th St
City
Niles
State
Michigan
Zip
49120-4060
Phone Number
269-683-5573
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302029320 (Michigan)
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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