Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Diane Beoletto, PHARMD

Individual provider Pharmacist · NPI 1568074474

Amanda Diane Beoletto, PHARMD is a Pharmacist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 624-0023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051300049 (IL)

Record details

NPI number1568074474
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 21, 2020
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

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