Individual provider · Type 1 NPI

Connie Jean Fogg-Jenkins

Pharmacist · Alsip, IL

NPI number 1275818940 Active

Practice location

12290 S Pulaski Rd
Alsip, IL 60803-1405

Fax (708) 385-3124

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051036254 (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 1275818940

Connie Jean Fogg-Jenkins's National Provider Identifier is 1275818940, issued on Oct 13, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Alsip, IL. The record was last updated on Oct 13, 2011.