Amanda Diane Beoletto, PHARMD

Pharmacist · Peoria, IL

Individual Active NPI

NPI number 1568074474

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 624-0023

Open in Google Maps

NPI record

NPI
1568074474
Entity type
Individual (Type 1)
Enumeration date
August 21, 2020
Last updated
August 21, 2020
Certified
August 21, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051300049 IL

About Dr. Beoletto

Amanda Diane Beoletto, PHARMD 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 1568074474 was assigned on August 21, 2020 and the record was last updated on August 21, 2020.

Dr. Beoletto lists a license in the registry: #051300049 (IL) 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 Amanda Diane Beoletto, PHARMD?

The NPI number is 1568074474.

What is the phone number of Dr. Beoletto?

The phone number listed for the practice location is (309) 624-0023.

Where is Dr. Beoletto located?

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

What is the taxonomy code for Dr. Beoletto?

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 Peoria

All Pharmacist providers in Peoria, IL →