Individual provider · Type 1 NPI

Larry Wayne Shively, BS PHARMACY

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Hines, IL

NPI number 1124116355 Active

Practice location

5th And Roosevelt, 119
Hines, IL 60141

Call (708) 202-8387 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X040875 (MO)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1124116355

Larry Wayne Shively, BS PHARMACY's National Provider Identifier is 1124116355, issued on Oct 11, 2006. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Hines, IL. The record was last updated on Feb 1, 2024.