Individual provider · Type 1 NPI

Fairy Patel

Pharmacist · Peoria, IL

NPI number 1700403623 Active

Practice location

2324 W War Memorial Dr
Peoria, IL 61614-5552

Call (309) 685-5209 Map

Mailing address

2324 W War Memorial Drive
Peoria, IL 61614-5552

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051300537 (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 1700403623

Fairy Patel's National Provider Identifier is 1700403623, issued on Jun 26, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Jun 26, 2020.