Individual provider · Type 1 NPI
Randy W. Ivanov, PharmD
Pharmacist · Indianapolis, IN
Practice location
3205 E Washington St
Indianapolis, IN 46201-4207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 26023680A (IN) |
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 1508149188
Randy W. Ivanov, PharmD's National Provider Identifier is 1508149188, issued on Sep 21, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 21, 2011.