Individual provider · Type 1 NPI
Carl Richard Jordan, R.PH.
Pharmacist · East Peoria, IL
Practice location
302 Harbor Pointe Dr
East Peoria, IL 61611-5802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 051027221 (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 1356460752
Carl Richard Jordan, R.PH.'s National Provider Identifier is 1356460752, issued on Mar 28, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in East Peoria, IL. The record was last updated on Jul 8, 2007.