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Dr. Keith R Fuentes, PHARMD
Pharmacist in West Peoria, Illinois
NPI 1982218525

Keith R Fuentes is a Pharmacist based in West Peoria, IL. Keith R Fuentes practices in West Peoria, IL and has the professional credentials of PHARMD. The NPI Number for Keith R Fuentes is 1982218525 and holds a License No. 051299712 (Illinois).

The current practice location address for Keith R Fuentes is 221 N Western Ave, West Peoria, IL and can be reached out via phone at 309-673-0665 and via fax at 309-673-3593.

Location: 221 N Western Ave, West Peoria, IL, 61604-5640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982218525
Provider Name
Keith R Fuentes
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
221 N Western Ave, West Peoria, IL, 61604-5640
Phone Number
309-673-0665
Fax Number
309-673-3593
Provider Enumeration Date
09/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 N Western Ave
City
West Peoria
State
Illinois
Zip
61604-5640
Phone Number
309-673-0665
Fax Number
309-673-3593
person
Provider Business Mailing Address Details
Address
221 N Western Ave
City
West Peoria
State
Illinois
Zip
61604-5640
Phone Number
309-673-0665
Fax Number
309-673-3593
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051299712 (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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