Individual provider · Type 1 NPI

Wade A. Siefert

Pharmacist · Peoria, IL

NPI number 1619625399 Active

Practice location

10302 N Schopp Ln
Peoria, IL 61615-1180

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051036934 (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 1619625399

Wade A. Siefert's National Provider Identifier is 1619625399, issued on Mar 12, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Mar 12, 2022.