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Edian Banuelos
Pharmacist in Carpentersville, Illinois
NPI 1700402203

Edian Banuelos is a Pharmacist based in Carpentersville, IL. Edian Banuelos practices in Carpentersville, IL. The NPI Number for Edian Banuelos is 1700402203 and holds a License No. 051.303055 (Illinois).

The current practice location address for Edian Banuelos is 365 Lake Marian Rd, Carpentersville, IL and can be reached out via phone at 847-426-4272.

Location: 365 Lake Marian Rd, Carpentersville, IL, 60110-2096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700402203
Provider Name
Edian Banuelos
Credential
Provider Entity Type
Individual
Gender
Male
Address
365 Lake Marian Rd, Carpentersville, IL, 60110-2096
Phone Number
847-426-4272
Fax Number
Provider Enumeration Date
06/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051.303055 01 IL IDFPR
institution
Provider Business Practice Location Address Details
Address
365 Lake Marian Rd
City
Carpentersville
State
Illinois
Zip
60110-2096
Phone Number
847-426-4272
Fax Number
person
Provider Business Mailing Address Details
Address
365 Lake Marian Rd
City
Carpentersville
State
Illinois
Zip
60110-2096
Phone Number
847-426-4272
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051.303055 (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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