Larry Wayne Shively in Hines - Pharmacist
Larry Wayne Shively - NPI 1124116355
Larry Wayne Shively is a Pharmacist in Hines, Illinois. Larry Wayne Shively practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Larry Wayne Shively is 1124116355. The last update date is 2023-11-15.
Larry Wayne Shively's current location address is 5th And Roosevelt, Hines, Illinois. You can contact this provider via phone number 7082028387. The mailing address for Larry Wayne Shively is 5th And Roosevelt, Hines, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Wayne Shively |
|---|---|
| Address | 5th And Roosevelt, Hines, Illinois |
| Phone Number | 7082028387 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BS PHARMAC |
NPI Number Detail
| NPI Number | 1124116355 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2023-11-15 |
Provider Mailing Address Detail
| Address | 5th And Roosevelt |
|---|---|
| City | Hines |
| State | Illinois (IL) |
| Post Code | 60141 |
| Phone Number | 7082028387 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 40875 |
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Definition: 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 m |
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Post Comment/ Review Below
What is the Larry Wayne Shively's 1124116355?
The Larry Wayne Shively's NPI (National Provider Identifier) Number is 1124116355. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Larry Wayne Shively?
The Larry Wayne Shively is physically situated at 5Th And Roosevelt, in the city of Hines, state of IL, with the postal code 60141.
What is the area of specialization for Larry Wayne Shively, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry Wayne Shively is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
When was the Larry Wayne Shively's 1124116355 issued?
The Larry Wayne Shively's 1124116355 was issued on 2006-10-11.
As of what date was the information regarding Larry Wayne Shively, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry Wayne Shively, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-15.