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Amanda Diane Beoletto, PHARMD
Pharmacist in Peoria, Illinois
NPI 1568074474

Amanda Diane Beoletto is a Pharmacist based in Peoria, IL. Amanda Diane Beoletto practices in Peoria, IL and has the professional credentials of PHARMD. The NPI Number for Amanda Diane Beoletto is 1568074474 and holds a License No. 051300049 (Illinois).

The current practice location address for Amanda Diane Beoletto is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-0023.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568074474
Provider Name
Amanda Diane Beoletto
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-624-0023
Fax Number
Provider Enumeration Date
08/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-624-0023
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-624-0023
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051300049 (Illinois)
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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