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Dr. Jared Andrew Blaylock, PHARMD
Pharmacist in Wood River, Illinois
NPI 1770187783

Jared Andrew Blaylock is a Pharmacist based in Wood River, IL. Jared Andrew Blaylock practices in Wood River, IL and has the professional credentials of PHARMD. The NPI Number for Jared Andrew Blaylock is 1770187783 and holds a License No. 051303330 (Illinois).

The current practice location address for Jared Andrew Blaylock is 1 W Edwardsville Rd, Wood River, IL and can be reached out via phone at 618-254-3610.

Location: 1 W Edwardsville Rd, Wood River, IL, 62095-1261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770187783
Provider Name
Jared Andrew Blaylock
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1 W Edwardsville Rd, Wood River, IL, 62095-1261
Phone Number
618-254-3610
Fax Number
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 W Edwardsville Rd
City
Wood River
State
Illinois
Zip
62095-1261
Phone Number
618-254-3610
Fax Number
person
Provider Business Mailing Address Details
Address
1 W Edwardsville Rd
City
Wood River
State
Illinois
Zip
62095-1261
Phone Number
618-254-3610
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051303330 (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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