Provider Demographics
NPI:1588205264
Name:STRICKLAND, JEANETTE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JEANETTE
Middle Name:
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14815 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:DOLTON
Mailing Address - State:IL
Mailing Address - Zip Code:60419-1529
Mailing Address - Country:US
Mailing Address - Phone:708-297-8625
Mailing Address - Fax:
Practice Address - Street 1:14815 CLARK ST
Practice Address - Street 2:
Practice Address - City:DOLTON
Practice Address - State:IL
Practice Address - Zip Code:60419-1529
Practice Address - Country:US
Practice Address - Phone:708-297-8625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0512925861835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist