Douglas Wade Sperry, RPH

Pharmacist · Peoria, IL

Individual Active NPI

NPI number 1649670902

Practice location

4100 W Willow Knolls Dr
Peoria, IL 61615-4405
Phone
(309) 692-1814
Fax
(309) 692-1863

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NPI record

NPI
1649670902
Entity type
Individual (Type 1)
Enumeration date
August 23, 2014
Last updated
August 23, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051032980 IL

Mailing address

15675 King Rd
Danvers, IL 61732-8409
Phone
(309) 838-0036
Fax
(309) 692-1863

About Douglas Sperry

Douglas Wade Sperry, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4100 W Willow Knolls Dr, Peoria, IL 61615-4405. The NPI number 1649670902 was assigned on August 23, 2014 and the record was last updated on August 23, 2014.

Douglas Sperry lists a license in the registry: #051032980 (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 Douglas Wade Sperry, RPH?

The NPI number is 1649670902.

What is the phone number of Douglas Sperry?

The phone number listed for the practice location is (309) 692-1814.

Where is Douglas Sperry located?

4100 W Willow Knolls Dr, Peoria, IL 61615-4405.

What is the taxonomy code for Douglas Sperry?

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.

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