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Jerold A Mckenzie
Pharmacist in Roscoe, Illinois
NPI 1821574823

Jerold A Mckenzie is a Pharmacist based in Roscoe, IL. Jerold A Mckenzie practices in Roscoe, IL. The NPI Number for Jerold A Mckenzie is 1821574823 and holds a License No. 051.039948 (Illinois).

The current practice location address for Jerold A Mckenzie is 4860 Hononegah Rd, Roscoe, IL and can be reached out via phone at 815-623-7798 and via fax at 815-623-9479. You can also correspond with Jerold A Mckenzie through the mailing address at 4860 HONONEGAH RD, ROSCOE, IL - 61073-7777 (mailing address contact number: 815-623-7798).

Location: 4860 Hononegah Rd, Roscoe, IL, 61073-7777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821574823
Provider Name
Jerold A Mckenzie
Credential
Provider Entity Type
Individual
Gender
Male
Address
4860 Hononegah Rd, Roscoe, IL, 61073-7777
Phone Number
815-623-7798
Fax Number
815-623-9479
Provider Enumeration Date
07/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4860 Hononegah Rd
City
Roscoe
State
Illinois
Zip
61073-7777
Phone Number
815-623-7798
Fax Number
815-623-9479
person
Provider Business Mailing Address Details
Address
4860 Hononegah Rd
City
Roscoe
State
Illinois
Zip
61073-7777
Phone Number
815-623-7798
Fax Number
815-623-9479
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051.039948 (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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
051.039948 (Illinois)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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