Individual provider · Type 1 NPI

Robert Koert Rennecker, BS

Pharmacist · Canton, IL

NPI number 1477164473 Active

Practice location

555 N Main St
Canton, IL 61520-1829

Mailing address

16059 E Cr 900N
Kilbourne, IL 62655-6541

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051034424 (IL)

Pharmacist: 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…

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About NPI 1477164473

Robert Koert Rennecker, BS's National Provider Identifier is 1477164473, issued on Aug 12, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Canton, IL. The record was last updated on Aug 12, 2020.