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

Individual provider Pharmacist · NPI 1710587175

Shane Michael Peck, PHARMD is a Pharmacist in Anna, Illinois. Practices as a sole proprietor. Licensed in Illinois.

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

300 Leigh Ave
Anna, IL 62906-2213
Phone: (618) 833-8580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051299014 (IL)

Record details

NPI number1710587175
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address175 Tollgate Rd, Anna, IL 62906-5400

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