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Dr. Keith Wesley Jackson, PHARMD
Pharmacist in Fort Wayne, Indiana
NPI 1952890030

Keith Wesley Jackson is a Pharmacist based in Fort Wayne, IN. Keith Wesley Jackson practices in Fort Wayne, IN and has the professional credentials of PHARMD. The NPI Number for Keith Wesley Jackson is 1952890030 and holds a License No. 26019319A (Indiana).

The current practice location address for Keith Wesley Jackson is 1900 Carew St Ste 4, Fort Wayne, IN and can be reached out via phone at 260-373-9775.

Location: 1900 Carew St Ste 4, Fort Wayne, IN, 46805-4765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952890030
Provider Name
Keith Wesley Jackson
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1900 Carew St Ste 4, Fort Wayne, IN, 46805-4765
Phone Number
260-373-9775
Fax Number
Provider Enumeration Date
05/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 Carew St Ste 4
City
Fort Wayne
State
Indiana
Zip
46805-4765
Phone Number
260-373-9775
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Carew St Ste 4
City
Fort Wayne
State
Indiana
Zip
46805-4765
Phone Number
260-373-9775
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26019319A (Indiana)
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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