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Shane Michael Peck, PHARMD
Pharmacist in Anna, Illinois
NPI 1710587175

Shane Michael Peck is a Pharmacist based in Anna, IL. Shane Michael Peck practices in Anna, IL and has the professional credentials of PHARMD. The NPI Number for Shane Michael Peck is 1710587175 and holds a License No. 051299014 (Illinois).

The current practice location address for Shane Michael Peck is 300 Leigh Ave, Anna, IL and can be reached out via phone at 618-833-8580.

Location: 300 Leigh Ave, Anna, IL, 62906-5400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710587175
Provider Name
Shane Michael Peck
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
300 Leigh Ave, Anna, IL, 62906-5400
Phone Number
618-833-8580
Fax Number
Provider Enumeration Date
10/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Leigh Ave
City
Anna
State
Illinois
Zip
62906-2213
Phone Number
618-833-8580
Fax Number
person
Provider Business Mailing Address Details
Address
300 Leigh Ave
City
Anna
State
Illinois
Zip
62906-2213
Phone Number
618-833-8580
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051299014 (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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