Individual provider · Type 1 NPI

Jaclynn R. Laviolette

Pharmacist · Niles, MI

NPI number 1437759636 Active

Practice location

2107 S 11th St
Niles, MI 49120-4060

Mailing address

19241 Copper Brook Dr
South Bend, IN 46637-2417

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302029320 (MI)

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 1437759636

Jaclynn R. Laviolette's National Provider Identifier is 1437759636, issued on Oct 27, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Niles, MI. The record was last updated on Oct 27, 2020.