Individual provider · Type 1 NPI

Amanda Diane Beoletto, PharmD

Pharmacist · Peoria, IL

NPI number 1568074474 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 624-0023 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051300049 (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 1568074474

Amanda Diane Beoletto, PharmD's National Provider Identifier is 1568074474, issued on Aug 21, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Aug 21, 2020.