Individual provider · Type 1 NPI
Justin Douglas McKinnie
Pharmacist · Mattoon, IL
Practice location
101 Dettro Dr
Mattoon, IL 61938-9044
Mailing address
9854 N County Road 000E
Mattoon, IL 61938-6505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 051292076 (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…
4 other providers at this address
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- Jason Waggoner, RPHPharmacist Mattoon, IL NPI 1033713524
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- Carissa Runde, PharmDPharmacist Mattoon, IL NPI 1093301863
- Nicole Marie Rincker, PharmDPharmacist Mattoon, IL NPI 1144577727
- Donald Hutton Ii, RPH.Pharmacist Mattoon, IL NPI 1154608511
- Jennifer D. Mueller-CliftonPharmacist Mattoon, IL NPI 1265339881
- Sandra Marie Derrickson, PHARMD RPHPharmacist Mattoon, IL NPI 1295312510
About NPI 1154923084
Justin Douglas McKinnie's National Provider Identifier is 1154923084, issued on Nov 16, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mattoon, IL. The record was last updated on Nov 16, 2020.