# JERILYN MCKEON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174395487
- **Gender:** F
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P2201X | Ambulatory Care Pharmacist | 6422274-1701 | UT | Yes |
| 1835P2201X | Ambulatory Care Pharmacist | P10671 | ID | — |
| 1835P2201X | Ambulatory Care Pharmacist | PH00070051 | WA | — |

## Other

- **Enumeration date:** 10/30/2023
- **Last updated:** 10/30/2023