Individual provider · Type 1 NPI

Douglas Wade Sperry, RPH

Pharmacist · Peoria, IL

NPI number 1649670902 Active

Practice location

4100 W Willow Knolls Dr
Peoria, IL 61615-4405

Fax (309) 692-1863

Mailing address

15675 King Rd
Danvers, IL 61732-8409

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051032980 (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…

2 other providers at this address

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About NPI 1649670902

Douglas Wade Sperry, RPH's National Provider Identifier is 1649670902, issued on Aug 23, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Aug 23, 2014.