Individual provider · Type 1 NPI

Christopher Jacobsen

Pharmacist · East Peoria, IL

NPI number 1124644273 Active

Practice location

300 N Main St
East Peoria, IL 61611-2081

Mailing address

503 Northwestern St
Spring Valley, IL 61362-1013

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051302501 (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 1124644273

Christopher Jacobsen's National Provider Identifier is 1124644273, issued on Jun 24, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in East Peoria, IL. The record was last updated on Jun 24, 2020.