Individual provider · Type 1 NPI
Tina Nguyen Gannuscio, PharmD
Pharmacist · Peoria, IL
Practice location
800 NE Glen Oak Ave
Peoria, IL 61603-3255
Mailing address
3216 W Birkshire Dr
Peoria, IL 61614-2305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 051297880 (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…
4 other providers at this address
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About NPI 1669871901
Tina Nguyen Gannuscio, PharmD's National Provider Identifier is 1669871901, issued on Aug 21, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Nov 28, 2016.