Individual provider · Type 1 NPI

Robert Russell Terry

Pharmacist · Peoria, IL

NPI number 1649553330 Active

Practice location

2515 N Knoxville Ave
Peoria, IL 61604-3621

Mailing address

3722 W Eagle Dr
Dunlap, IL 61525-9644

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051-286022 (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 1649553330

Robert Russell Terry's National Provider Identifier is 1649553330, issued on Sep 20, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Sep 20, 2011.