Shane Allen Spacek, PHARMACIST

Pharmacist · Bloomfield, NM

Individual Active NPI

NPI number 1285257634

Practice location

6 Road 7586
Bloomfield, NM 87413-4934
Phone
(505) 960-7860

Open in Google Maps

NPI record

NPI
1285257634
Entity type
Individual (Type 1)
Enumeration date
May 20, 2020
Last updated
May 20, 2020
Certified
May 20, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PH42212 SC

About Shane Spacek

Shane Allen Spacek, PHARMACIST is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 6 Road 7586, Bloomfield, NM 87413-4934. The NPI number 1285257634 was assigned on May 20, 2020 and the record was last updated on May 20, 2020.

Shane Spacek lists a license in the registry: #PH42212 (SC) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane Allen Spacek, PHARMACIST?

The NPI number is 1285257634.

What is the phone number of Shane Spacek?

The phone number listed for the practice location is (505) 960-7860.

Where is Shane Spacek located?

6 Road 7586, Bloomfield, NM 87413-4934.

What is the taxonomy code for Shane Spacek?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Bloomfield

All Pharmacist providers in Bloomfield, NM →