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NPI Code Detail

MEDICARE: MS. RHONDA S EMRY RPH CDM

MEDICARE: MS. RHONDA S EMRY RPH CDM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16428IA

General Provider Information

NPI Number : 1871594580
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHONDA S EMRY RPH CDM
Provider Business Mailing Address
First Line : 1030 NE 9TH ST
Second Line :
City : ANKENY
State : IA
Zip : 50021-2080
Country : US
Telephone Number : 515-964-1678
Fax Number :
Provider Business Practice Location Address
First Line : 1990 GRAND AVE
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50265-4222
Country : US
Telephone Number : 515-223-8506
Fax Number : 515-225-1628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 07/08/2007

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