Nicole Spore
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9219 N Lindbergh Dr, Peoria
Illinois, 61615-1425
309-692-0473 Nicole Spore is a pharmacist who is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Peoria, Illinois. Patients can reach her at 9219 N Lindbergh Dr, Peoria or contact her on 309-692-0473. Active license number of Nicole Spore is 051305252 for Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Illinois.
Nicole Spore 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:
Nicole Spore speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Nicole Spore |
| Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Gender: | Female |
| Location: | 9219 N Lindbergh Dr, Peoria,
Illinois, 61615-1425 |
| Phone: | 309-692-0473 |
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 Nicole Spore are as mentioned below.
| NPI Number: | 1316651599 |
| NPI Enumeration Date: | 11 Jan, 2023 |
| NPI Last Update On: | 17 Jan, 2023 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Spore are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 051305252 | Illinois | 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: | 9219 N Lindbergh Dr,
Peoria, Illinois |
| Zip: | 61615-1425 |
| Phone Number: | -- |
Patients can reach Nicole Spore at
9219 N Lindbergh Dr, Peoria, Illinois or can
call on phone at 309-692-0473.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.