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Tailor Ilise Riley, PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lake Charles, Louisiana
NPI 1841771995

Tailor Ilise Riley is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Kinder, LA and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Tailor Ilise Riley practices in Lake Charles, LA and has the professional credentials of PHARMD. The NPI Number for Tailor Ilise Riley is 1841771995 and holds a License No. PST.022506 (Louisiana).

The current practice location address for Tailor Ilise Riley is 2010 Country Club Rd, Lake Charles, LA and can be reached out via phone at 337-990-4902.

Location: 2010 Country Club Rd, Lake Charles, LA, 70648-5438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841771995
Provider Name
Tailor Ilise Riley
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
2010 Country Club Rd, Lake Charles, LA, 70648-5438
Phone Number
337-990-4902
Fax Number
Provider Enumeration Date
08/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PST.022506 01 LA LOUISIANA BOARD OF PHARMACY
MA.003770 01 LA LOUISIANA BOARD OF PHARMACY
institution
Provider Business Practice Location Address Details
Address
2010 Country Club Rd
City
Lake Charles
State
Louisiana
Zip
70605-5206
Phone Number
337-990-4902
Fax Number
person
Provider Business Mailing Address Details
Address
2010 Country Club Rd
City
Lake Charles
State
Louisiana
Zip
70605-5206
Phone Number
337-990-4902
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
PST.022506 (Louisiana)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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