Individual provider · Type 1 NPI

Shaybriana Groth, PharmD

Pediatric Pharmacist · Peoria, IL

NPI number 1710770169 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (414) 630-7572 Map

Mailing address

5411 W Haymeadow Pl Apt 2C
Peoria, IL 61615-3136

Specialties and licenses

TaxonomyCodeLicense
Pediatric Pharmacist Primary 1835P0200X051306418 (IL)
Pediatric Pharmacist 1835P0200X22474-40 (WI)

Pediatric Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.

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About NPI 1710770169

Shaybriana Groth, PharmD's National Provider Identifier is 1710770169, issued on May 28, 2025. The primary taxonomy on file is Pediatric Pharmacist (1835P0200X), and the practice location is in Peoria, IL. The record was last updated on May 28, 2025.