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Jordan Diebolt, PHARMD,RPH
Pharmacist in Waltham, Massachusetts
NPI 1588423909

Jordan Diebolt is a Pharmacist based in Ashland, MA. Jordan Diebolt practices in Waltham, MA and has the professional credentials of PHARMD,RPH. The NPI Number for Jordan Diebolt is 1588423909 and holds a License No. PH235214 (Massachusetts).

The current practice location address for Jordan Diebolt is 69 Hickory Dr Ste 1, Waltham, MA and can be reached out via phone at 781-373-9199.

Location: 69 Hickory Dr Ste 1, Waltham, MA, 01721-4457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588423909
Provider Name
Jordan Diebolt
Credential
PHARMD,RPH
Provider Entity Type
Individual
Gender
Male
Address
69 Hickory Dr Ste 1, Waltham, MA, 01721-4457
Phone Number
781-373-9199
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
69 Hickory Dr Ste 1
City
Waltham
State
Massachusetts
Zip
02451-1011
Phone Number
781-373-9199
Fax Number
person
Provider Business Mailing Address Details
Address
69 Hickory Dr Ste 1
City
Waltham
State
Massachusetts
Zip
02451-1011
Phone Number
781-373-9199
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PH235214 (Massachusetts)
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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