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Mr. Matthew Jay Carlisle, RPH
Pharmacist in Wentzville, Missouri
NPI 1700357134

Matthew Jay Carlisle is a Pharmacist based in Wentzville, MO. Matthew Jay Carlisle practices in Wentzville, MO and has the professional credentials of RPH. The NPI Number for Matthew Jay Carlisle is 1700357134 and holds a License No. 051035160 (Missouri).

The current practice location address for Matthew Jay Carlisle is 1032 Crosswinds Ct, Wentzville, MO and can be reached out via phone at 636-327-3560.

Location: 1032 Crosswinds Ct, Wentzville, MO, 63385-4836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700357134
Provider Name
Matthew Jay Carlisle
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1032 Crosswinds Ct, Wentzville, MO, 63385-4836
Phone Number
636-327-3560
Fax Number
Provider Enumeration Date
12/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051035160 01 IL ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION - PHARMACIST
040974 01 MO MISSOURI STATE BOARD OF PHARMACY
institution
Provider Business Practice Location Address Details
Address
1032 Crosswinds Ct
City
Wentzville
State
Missouri
Zip
63385-4836
Phone Number
636-327-3560
Fax Number
person
Provider Business Mailing Address Details
Address
1032 Crosswinds Ct
City
Wentzville
State
Missouri
Zip
63385-4836
Phone Number
636-327-3560
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051035160 (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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