Individual provider · Type 1 NPI
Angela Dawn Ibaviosa, R.PH.
Pharmacist · Desloge, MO
Practice location
Parkland Health Mart 617 N. Cowling Ste G
Desloge, MO 63601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 043721 (MO) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1134611510
Angela Dawn Ibaviosa, R.PH.'s National Provider Identifier is 1134611510, issued on Jun 1, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Desloge, MO. The record was last updated on Jun 1, 2018.