MR. MARK STEVEN TEDROW RPH NPI 1073835880

NPI Information

NPI: 1073835880
Provider Name: MR. MARK STEVEN TEDROW, RPH
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
1880 S WEST AVE
FREEPORT, IL
ZIP 61032
Phone: (815) 235-4299
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MR. Mark Steven Tedrow, RPH is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Freeport, IL. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. MR. Mark Steven Tedrow, RPH NPI is 1073835880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1880 S WEST AVE
FREEPORT, IL
ZIP 61032-712
Phone: (815) 235-4299
Fax: (815) 233-4675

The enumeration date for this NPI number is 2/20/2010 and was last updated on 2/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	051-033423	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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