Larry Wayne Shively
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
5th And Roosevelt, 119, Hines
Illinois, 60141
708-202-8387
Larry Wayne Shively is a pharmacist who is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Hines, Illinois. Patients can reach him at 5th And Roosevelt, 119, Hines or contact him on 708-202-8387. Active license number of Larry Wayne Shively is 040875 for Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Missouri.
Larry Wayne Shively is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Complete Profile:
Larry Wayne Shively speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Larry Wayne Shively |
| Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Credentials: | BS PHARMACY |
| Gender: | Male |
| Location: | 5th And Roosevelt, 119, Hines, Illinois, 60141 |
| Phone: | 708-202-8387 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Larry Wayne Shively are as mentioned below.
| NPI Number: | 1124116355 |
| NPI Enumeration Date: | 11 Oct, 2006 |
| NPI Last Update On: | 01 Feb, 2024 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry Wayne Shively are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 040875 | Missouri | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5th And Roosevelt, Hines, Illinois |
| Zip: | 60141 |
| Phone Number: | 708-202-8387 |
Patients can reach Larry Wayne Shively at
5th And Roosevelt, 119, Hines, Illinois or can
call on phone at 708-202-8387.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.