Jackson Moreland

Pharmacist · Collinsville, IL

Individual Active NPI

NPI number 1942978655

Practice location

501 Belt Line Rd
Collinsville, IL 62234-4410
Phone
(618) 345-7811

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NPI record

NPI
1942978655
Entity type
Individual (Type 1)
Enumeration date
August 30, 2021
Last updated
August 30, 2021
Certified
August 30, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051304096 IL

Mailing address

208 Cheryl Dr
Collinsville, IL 62234-3814

About Jackson Moreland

Jackson Moreland is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 501 Belt Line Rd, Collinsville, IL 62234-4410. The NPI number 1942978655 was assigned on August 30, 2021 and the record was last updated on August 30, 2021.

Jackson Moreland lists a license in the registry: #051304096 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackson Moreland?

The NPI number is 1942978655.

What is the phone number of Jackson Moreland?

The phone number listed for the practice location is (618) 345-7811.

Where is Jackson Moreland located?

501 Belt Line Rd, Collinsville, IL 62234-4410.

What is the taxonomy code for Jackson Moreland?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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