Evansdale Pharmacy, Inc. in Evansdale - Community/retail Pharmacy
Evansdale Pharmacy, Inc. - NPI 1619012382
Evansdale Pharmacy, Inc. is a Community/retail Pharmacy in Evansdale, Iowa. Evansdale Pharmacy, Inc. practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Evansdale Pharmacy, Inc. is 1619012382. The last update date is 2020-08-22.
Evansdale Pharmacy, Inc.'s current location address is 3506 Lafayette Rd, Evansdale, Iowa. You can contact this provider via phone number 3192333395. The mailing address for Evansdale Pharmacy, Inc. is 3506 Lafayette Rd, Evansdale, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evansdale Pharmacy, Inc. |
|---|---|
| Address | 3506 Lafayette Rd, Evansdale, Iowa |
| Phone Number | 3192333395 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Foreman E. Ric |
| Credentials | R.PH. |
| Telephone Number | 3192333395 |
NPI Number Detail
| NPI Number | 1619012382 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3506 Lafayette Rd |
|---|---|
| City | Evansdale |
| State | Iowa (IA) |
| Post Code | 507071025 |
| Phone Number | 3192333395 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 513 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76547 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Evansdale Pharmacy, Inc. by the Centers for Medicare & Medicaid Services?
The Evansdale Pharmacy, Inc. has been assigned the NPI (National Provider Identifier) 1619012382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Evansdale Pharmacy, Inc. is physically located?
The Evansdale Pharmacy, Inc. is physically situated at the following address: 3506 Lafayette Rd, Evansdale, IA, 507071025.
What is Evansdale Pharmacy, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Evansdale Pharmacy, Inc. is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619012382 to Evansdale Pharmacy, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1619012382 to Evansdale Pharmacy, Inc. on 2007-02-21.
As of what date was the information pertaining to Evansdale Pharmacy, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Evansdale Pharmacy, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.