Individual provider · Type 1 NPI

Jisha M. John, PHARM D.

Pharmacist · Peoria, IL

NPI number 1083056162 Active

Practice location

1919 W Pioneer Pkwy
Peoria, IL 61615-1825

Mailing address

7815 N Knoxville Ave, Suite 6
Peoria, IL 61614-2078

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051296623 (IL)

Pharmacist: 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…

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About NPI 1083056162

Jisha M. John, PHARM D.'s National Provider Identifier is 1083056162, issued on Jul 18, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Jul 18, 2013.