Individual provider · Type 1 NPI

Jerald Grant Sisemore Jr., PharmD

Pharmacist · Lago Vista, TX

NPI number 1114522265 Active

Practice location

20601 FM 1431
Lago Vista, TX 78645-4505

Fax (512) 267-8016

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X43621 (TX)

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…

2 other providers at this address

Other pharmacist providers in Lago Vista

See all in Lago Vista →

About NPI 1114522265

Jerald Grant Sisemore Jr., PharmD's National Provider Identifier is 1114522265, issued on Dec 4, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lago Vista, TX. The record was last updated on Dec 4, 2020.