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Angela Dawn Ibaviosa, RPH
Pharmacist in Desloge, Missouri
NPI 1134611510

Angela Dawn Ibaviosa is a Pharmacist based in Desloge, MO. Angela Dawn Ibaviosa practices in Desloge, MO and has the professional credentials of RPH. The NPI Number for Angela Dawn Ibaviosa is 1134611510 and holds a License No. 043721 (Missouri).

The current practice location address for Angela Dawn Ibaviosa is Parkland Health Mart 617 N. Cowling Ste G, Desloge, MO and can be reached out via phone at 573-431-6677.

Location: Parkland Health Mart 617 N. Cowling Ste G, Desloge, MO, 63601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134611510
Provider Name
Angela Dawn Ibaviosa
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
Parkland Health Mart 617 N. Cowling Ste G, Desloge, MO, 63601
Phone Number
573-431-6677
Fax Number
Provider Enumeration Date
06/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Parkland Health Mart 617 N. Cowling Ste G
City
Desloge
State
Missouri
Zip
63601
Phone Number
573-431-6677
Fax Number
person
Provider Business Mailing Address Details
Address
Parkland Health Mart 617 N. Cowling Ste G
City
Desloge
State
Missouri
Zip
63601
Phone Number
573-431-6677
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
043721 (Missouri)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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