Provider / Organization | NPI | Date Certified |
---|---|---|
JESSICA CARLSON | 1376270561 | 2022-08-07 |
Jessica Carlson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376270561. Registration indicates Jessica Carlson is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist: Pharmacist Clinician (PhC),/ Clinical Pharmacy Specialist, ) (Pharmacist Pharmacist Clinician (PhC),/ Clinical Pharmacy Specialist, Pharmacy Service Providers) (Pharmacist, )
Entity Type | Individual |
Provider Name | Jessica Carlson PHARMD |
Practice Office Address | 820 S DAMEN AVE CHICAGO, IL US |
Practice Office Telephone | 3125698387 |
Mailing Address | 3226 VERNON AVE BROOKFIELD, IL 605131443 US |
Business Telephone | 7082686278 |
Code | Practice | License No State |
---|---|---|
1835P0018X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist: Pharmacist Clinician (PhC),/ Clinical Pharmacy Specialist Pharmacist Pharmacist Clinician (PhC),/ Clinical Pharmacy Specialist Pharmacy Service Providers Pharmacist | 051.302191
IL |