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Alicen Wagenbach, PHARMD
Pharmacist in Galesburg, Illinois
NPI 1720361124

Alicen Wagenbach is a Pharmacist based in Burlington, IL. Alicen Wagenbach practices in Galesburg, IL and has the professional credentials of PHARMD. The NPI Number for Alicen Wagenbach is 1720361124 and holds a License No. 051-295368 (Illinois).

The current practice location address for Alicen Wagenbach is 844 W Fremont St, Galesburg, IL and can be reached out via phone at 309-343-5141 and via fax at 309-343-6821.

Location: 844 W Fremont St, Galesburg, IL, 52601-9274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720361124
Provider Name
Alicen Wagenbach
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
844 W Fremont St, Galesburg, IL, 52601-9274
Phone Number
309-343-5141
Fax Number
309-343-6821
Provider Enumeration Date
09/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
844 W Fremont St
City
Galesburg
State
Illinois
Zip
61401-2509
Phone Number
309-343-5141
Fax Number
309-343-6821
person
Provider Business Mailing Address Details
Address
844 W Fremont St
City
Galesburg
State
Illinois
Zip
61401-2509
Phone Number
309-343-5141
Fax Number
309-343-6821
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051-295368 (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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