Individual provider · Type 1 NPI

Nicole Spore

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

NPI number 1316651599 Active

Practice location

9219 N Lindbergh Dr
Peoria, IL 61615-1425

Call (309) 692-0473 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X051305252 (IL)

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.

6 other providers at this address

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About NPI 1316651599

Nicole Spore's National Provider Identifier is 1316651599, issued on Jan 11, 2023. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Peoria, IL. The record was last updated on Jan 17, 2023.