Matthew Raymond Illich is a pharmacist in Gulfport, Mississippi. Patients can reach him at 1417 E Pass Rd, Gulfport or contact him on 228-896-3870. Active license number of Matthew Raymond Illich is 16174 for Pharmacist in Mississippi. Matthew Raymond Illich is 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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Matthew Raymond Illich speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Matthew Raymond Illich
Specialization:
Pharmacist
Credentials:
PHARMD
Gender:
Male
Location:
1417 E Pass Rd, Gulfport, Mississippi, 39507-3522
Phone:
228-896-3870
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Matthew Raymond Illich are as mentioned below.
NPI Number:
1558972307
NPI Enumeration Date:
14 Aug, 2020
NPI Last Update On:
26 Dec, 2022
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Raymond Illich are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
16174
Mississippi
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
905 Sea Cove St, Pascagoula, Mississippi
Zip:
39581-2166
Phone Number:
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Fax Number:
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Patients can reach Matthew Raymond Illich at 1417 E Pass Rd, Gulfport, Mississippi or can call on phone at 228-896-3870.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.