Shane Allen Spacek, PHARMACIST is a
Pharmacist based in Bloomfield, New Mexico. Shane Allen Spacek is licensed to practice in South Carolina (license number PH42212) and his current practice location is
6 Road 7586, Bloomfield, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 960-7860.
NPI number for Shane Allen Spacek is 1285257634 and his current mailing address is 6 Road 7586, Bloomfield, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285257634.
Healthcare Provider's Profile
| Full Name | Shane Allen Spacek |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 6 Road 7586, Bloomfield, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285257634
- Provider Enumeration Date: 05/20/2020
- Last Update Date: 05/20/2020
Medical Identifiers
Medical identifiers for Shane Allen Spacek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285257634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 183500000X | Pharmacist | PH42212 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shane Allen Spacek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shane Allen Spacek, PHARMACIST 6 Road 7586, Bloomfield, NM 87413-4934 Ph: (505) 960-7860 | Shane Allen Spacek, PHARMACIST 6 Road 7586, Bloomfield, NM 87413-4934 Ph: (505) 960-7860 |
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