Individual provider · Type 1 NPI

Jose M. Carrasco, PharmD

Pharmacist · Grand Chute, WI

NPI number 1215286752 Active

Practice location

4016 Towne Lakes Cir, Apt #7212
Grand Chute, WI 54913-8006

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X16879-40 (WI)
Pharmacist 183500000X051296162 (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 1215286752

Jose M. Carrasco, PharmD's National Provider Identifier is 1215286752, issued on Aug 30, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Chute, WI. The record was last updated on Sep 1, 2012.