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Mr. Lawrence Ketrick Shanley, RPH
Pharmacist in Peru, New York
NPI 1548354053

Lawrence Ketrick Shanley is a Pharmacist based in Peru, NY. Lawrence Ketrick Shanley practices in Peru, NY and has the professional credentials of RPH. The NPI Number for Lawrence Ketrick Shanley is 1548354053 and holds a License No. 026013 (New York).

The current practice location address for Lawrence Ketrick Shanley is 2 Gorman Way, Peru, NY and can be reached out via phone at 518-643-2318 and via fax at 518-643-0010.

Location: 2 Gorman Way, Peru, NY, 12972-0086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548354053
Provider Name
Lawrence Ketrick Shanley
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
2 Gorman Way, Peru, NY, 12972-0086
Phone Number
518-643-2318
Fax Number
518-643-0010
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00619172 05 NY
3342499 01 NY NCPDP
016918 01 NY PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
2 Gorman Way
City
Peru
State
New York
Zip
12972-0086
Phone Number
518-643-2318
Fax Number
518-643-0010
person
Provider Business Mailing Address Details
Address
2 Gorman Way
City
Peru
State
New York
Zip
12972-0086
Phone Number
518-643-2318
Fax Number
518-643-0010
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
026013 (New York)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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