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

Shane Allen Spacek, PHARMACIST

Individual provider Pharmacist · NPI 1285257634

Shane Allen Spacek, PHARMACIST is a Pharmacist in Bloomfield, New Mexico. Licensed in South Carolina. Registered with an NPI since 2020.

Licensed in
SC
In the registry since
2020

Practice location Address checks out

6 Road 7586
Bloomfield, NM 87413-4934
Phone: (505) 960-7860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH42212 (SC)

Record details

NPI number1285257634
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorNo
NPI enumeratedMay 20, 2020
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020
Mailing address6 Road 7586, Bloomfield, NM 87413-4934

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