Individual provider · Type 1 NPI

Marylou Wacek

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Portland, OR

NPI number 1336408616 Active

Practice location

4849 NE 138th Ave
Portland, OR 97230-3401

Call (503) 257-3935 Map

Fax (503) 253-3747

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X4981 (OR)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X4981 (OR)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1336408616

Marylou Wacek's National Provider Identifier is 1336408616, issued on May 8, 2012. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Portland, OR. The record was last updated on Dec 31, 2015.