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Grady Jack Graham
Pharmacist in Marion, Illinois
NPI 1972214161

Grady Jack Graham is a Pharmacist based in Marion, IL. Grady Jack Graham practices in Marion, IL. The NPI Number for Grady Jack Graham is 1972214161 and holds a License No. 051305245 (Illinois).

The current practice location address for Grady Jack Graham is 2802 Outer Dr, Marion, IL and can be reached out via phone at 618-997-2021.

Location: 2802 Outer Dr, Marion, IL, 62959-5207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972214161
Provider Name
Grady Jack Graham
Credential
Provider Entity Type
Individual
Gender
Male
Address
2802 Outer Dr, Marion, IL, 62959-5207
Phone Number
618-997-2021
Fax Number
Provider Enumeration Date
12/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2802 Outer Dr
City
Marion
State
Illinois
Zip
62959-5207
Phone Number
618-997-2021
Fax Number
person
Provider Business Mailing Address Details
Address
2802 Outer Dr
City
Marion
State
Illinois
Zip
62959-5207
Phone Number
618-997-2021
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051305245 (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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