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Justin Clarke Liedke, PHARMD
Pharmacist in Troy, Missouri
NPI 1639787328

Justin Clarke Liedke is a Pharmacist based in O Fallon, MO. Justin Clarke Liedke practices in Troy, MO and has the professional credentials of PHARMD. The NPI Number for Justin Clarke Liedke is 1639787328 and holds a License No. 2020018825 (Missouri).

The current practice location address for Justin Clarke Liedke is 100 Jason Dr, Troy, MO and can be reached out via phone at 636-462-5901.

Location: 100 Jason Dr, Troy, MO, 63366-6305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639787328
Provider Name
Justin Clarke Liedke
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
100 Jason Dr, Troy, MO, 63366-6305
Phone Number
636-462-5901
Fax Number
Provider Enumeration Date
07/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Jason Dr
City
Troy
State
Missouri
Zip
63379-1944
Phone Number
636-462-5901
Fax Number
person
Provider Business Mailing Address Details
Address
100 Jason Dr
City
Troy
State
Missouri
Zip
63379-1944
Phone Number
636-462-5901
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2020018825 (Missouri)
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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