Individual provider · Type 1 NPI

Jasper O. Ileka, PD

Pharmacist · Dallas, TX

NPI number 1639424286 Active

Practice location

2947 S Buckner Blvd, #500
Dallas, TX 75227-6952

Mailing address

4206 Crystal Ln
Garland, TX 75043-6660

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X02349 (RI)
Pharmacist 183500000X49901 (TX)

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 1639424286

Jasper O. Ileka, PD's National Provider Identifier is 1639424286, issued on Jul 19, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Dallas, TX. The record was last updated on Jul 19, 2012.