| Dr Jared Andrew Blaylock, PHARMD | |
|
1 W Edwardsville Rd, Wood River, IL 62095-1261 | |
| (618) 254-3610 | |
| Not Available |
| Full Name | Dr Jared Andrew Blaylock |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1 W Edwardsville Rd, Wood River, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770187783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 051303330 (Illinois) | Secondary |
| 183500000X | Pharmacist | 2020023097 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jared Andrew Blaylock, PHARMD 1 W Edwardsville Rd, Wood River, IL 62095-1261 Ph: (618) 254-3610 | Dr Jared Andrew Blaylock, PHARMD 1 W Edwardsville Rd, Wood River, IL 62095-1261 Ph: (618) 254-3610 |
Kevin L Hendrick, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 600 E Ferguson Ave, Wood River, IL 62095 Phone: 618-254-6223 Fax: 618-254-1772 | |
Dale Suhrenbrock, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1122 Vaughn Rd, Wood River, IL 62095 Phone: 618-259-2013 Fax: 618-259-2098 | |
Homer Ruedin, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 901 E Edwardsville Rd, Wood River, IL 62095 Phone: 618-259-0085 Fax: 618-259-0089 | |
Michael Cleary, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 901 E Edwardsville Rd, Wood River, IL 62095 Phone: 618-259-0085 Fax: 618-259-0089 | |
Dr. Jill Woodward, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 901 E Edwardsville Rd, Wood River, IL 62095 Phone: 618-259-0085 Fax: 618-259-0089 | |
Dr. Susan Lynn Way, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 610 Wesley Dr, Wood River, IL 62095 Phone: 618-259-0293 Fax: 618-259-8757 | |
Mr. Donald Edward Mayden, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 600 E Ferguson Ave, Wood River, IL 62095 Phone: 618-254-6223 |