Individual provider · Type 1 NPI

Matthew Jay Carlisle, R.PH.

Pharmacist · Wentzville, MO

NPI number 1700357134 Active

Practice location

1032 Crosswinds Ct
Wentzville, MO 63385-4836

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X051035160 (IL)
Pharmacist Primary 183500000X090974 (MO)

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 1700357134

Matthew Jay Carlisle, R.PH.'s National Provider Identifier is 1700357134, issued on Dec 11, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wentzville, MO. The record was last updated on Dec 11, 2018.