ANGELA DAWN IBAVIOSA R.PH.
NPI 1134611510
Pharmacist in Desloge, MO

Active since June 01, 2018
PARKLAND HEALTH MART 617 N. COWLING STE G, DESLOGE, MO 63601(573) 431-6677 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Angela Dawn Ibaviosa R.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA DAWN IBAVIOSA R.PH. (NPI 1134611510) is an individual pharmacist in Desloge, Missouri, licensed in Missouri (043721) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1134611510
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameANGELA DAWN IBAVIOSACredential: R.PH.
Location AddressPARKLAND HEALTH MART 617 N. COWLING STE GDesloge, MO 63601
Mailing AddressParkland Health Mart 617 N. Cowling Ste GDesloge, MO 63601 · (573) 431-6677
Sole ProprietorNo
Enumeration DateJune 1, 2018
NPI 1134611510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 043721
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.

PARKLAND HEALTH MART 617 N. COWLING STE G, Desloge, MO 63601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134611510, enumerated as an "individual" on June 01, 2018.

The provider is located at PARKLAND HEALTH MART 617 N. COWLING STE G DESLOGE, MO 63601 and the phone number is (573) 431-6677.

Pharmacist with taxonomy code 183500000X.