Individual provider · Type 1 NPI

Shane Michael Peck, PharmD

Pharmacist · Anna, IL

NPI number 1710587175 Active

Practice location

300 Leigh Ave
Anna, IL 62906-2213

Mailing address

175 Tollgate Rd
Anna, IL 62906-5400

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051299014 (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 1710587175

Shane Michael Peck, PharmD's National Provider Identifier is 1710587175, issued on Oct 27, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Anna, IL. The record was last updated on Oct 27, 2020.