Individual provider · Type 1 NPI

Erick Dru Dawalt, PHARM D

Pharmacist · Peoria, IL

NPI number 1518214964 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2285 Map

Mailing address

11004 N Mesa Dr
Peoria, IL 61615-1107

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051289062 (IL)
Pharmacist 183500000X26020883A (IN)

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 1518214964

Erick Dru Dawalt, PHARM D's National Provider Identifier is 1518214964, issued on Aug 4, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Aug 4, 2012.