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Jack Atwood, RPH
Pharmacist in Carbondale, Illinois
NPI 1740628759

Jack Atwood is a Pharmacist based in Carbondale, IL. Jack Atwood practices in Carbondale, IL and has the professional credentials of RPH. The NPI Number for Jack Atwood is 1740628759 and holds a License No. 051-022602 (Illinois).

The current practice location address for Jack Atwood is 206 S Wall St, Carbondale, IL and can be reached out via phone at 618-457-4104.

Location: 206 S Wall St, Carbondale, IL, 62901-3023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740628759
Provider Name
Jack Atwood
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
206 S Wall St, Carbondale, IL, 62901-3023
Phone Number
618-457-4104
Fax Number
Provider Enumeration Date
06/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
206 S Wall St
City
Carbondale
State
Illinois
Zip
62901-3023
Phone Number
618-457-4104
Fax Number
person
Provider Business Mailing Address Details
Address
206 S Wall St
City
Carbondale
State
Illinois
Zip
62901-3023
Phone Number
618-457-4104
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051-022602 (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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