Erick Dru Dawalt, PHARM D

Pharmacist · Peoria, IL

Individual Active NPI

NPI number 1518214964

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 655-2285

Open in Google Maps

NPI record

NPI
1518214964
Entity type
Individual (Type 1)
Enumeration date
August 4, 2012
Last updated
August 4, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051289062 IL
Pharmacist 183500000X 26020883A IN

Mailing address

11004 N Mesa Dr
Peoria, IL 61615-1107

About Dr. Dawalt

Erick Dru Dawalt, PHARM D is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 530 NE Glen Oak Ave, Peoria, IL 61637-0001. The NPI number 1518214964 was assigned on August 4, 2012 and the record was last updated on August 4, 2012.

Dr. Dawalt lists 2 licenses in the registry: #051289062 (IL) for Pharmacist; #26020883A (IN) 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 Erick Dru Dawalt, PHARM D?

The NPI number is 1518214964.

What is the phone number of Dr. Dawalt?

The phone number listed for the practice location is (309) 655-2285.

Where is Dr. Dawalt located?

530 NE Glen Oak Ave, Peoria, IL 61637-0001.

What is the taxonomy code for Dr. Dawalt?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

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 Peoria

All Pharmacist providers in Peoria, IL →