Loren Leiseberg is a Pharmacist based in Normal, IL. Loren Leiseberg practices in Normal, IL. The NPI Number for Loren Leiseberg is 1902254097 and holds a License No. 051-029200 (Illinois).
The current practice location address for Loren Leiseberg is 901 S Cottage Ave, Normal, IL and can be reached out via phone at 309-454-6080.
Location: 901 S Cottage Ave, Normal, IL, 61761-3302
Provider Profile Details
NPI Number
1902254097
Provider Name
Loren Leiseberg
Credential
Provider Entity Type
Individual
Gender
Male
Address
901 S Cottage Ave, Normal, IL, 61761-3302
Phone Number
309-454-6080
Fax Number
Provider Enumeration Date
05/30/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
901 S Cottage Ave
City
State
Zip
61761-3302
Phone Number
309-454-6080
Fax Number
Provider Business Mailing Address Details
Address
901 S Cottage Ave
City
State
Zip
61761-3302
Phone Number
309-454-6080
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
051-029200 (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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