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Randy W Ivanov, PHARMD
Pharmacist in Indianapolis, Indiana
NPI 1508149188

Randy W Ivanov is a Pharmacist based in Indianapolis, IN. Randy W Ivanov practices in Indianapolis, IN and has the professional credentials of PHARMD. The NPI Number for Randy W Ivanov is 1508149188 and holds a License No. 26023680A (Indiana).

The current practice location address for Randy W Ivanov is 3205 E Washington St, Indianapolis, IN and can be reached out via phone at 317-681-1111.

Location: 3205 E Washington St, Indianapolis, IN, 46201-4207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508149188
Provider Name
Randy W Ivanov
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
3205 E Washington St, Indianapolis, IN, 46201-4207
Phone Number
317-681-1111
Fax Number
Provider Enumeration Date
09/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3205 E Washington St
City
Indianapolis
State
Indiana
Zip
46201-4207
Phone Number
317-681-1111
Fax Number
person
Provider Business Mailing Address Details
Address
3205 E Washington St
City
Indianapolis
State
Indiana
Zip
46201-4207
Phone Number
317-681-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26023680A (Indiana)
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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