Individual provider · Type 1 NPI
Jacenta Matthews, PharmD
Pharmacist · Vicksburg, MS
Practice location
1435 N Frontage Rd
Vicksburg, MS 39180-5170
Mailing address
1842 Tita St
New Orleans, LA 70114-3383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | E15632 (MS) |
| Pharmacist Primary | 183500000X | PST.022886 (LA) |
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 1245706803
Jacenta Matthews, PharmD's National Provider Identifier is 1245706803, issued on Oct 22, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Vicksburg, MS. The record was last updated on Sep 18, 2020.