Healthcare Provider Details

I. General information

NPI: 1073473849
Provider Name (Legal Business Name): REBECCA MCDANEL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 5TH ST
KALONA IA
52247-7706
US

IV. Provider business mailing address

121 S 16TH ST
UNIONVILLE MO
63565-1624
US

V. Phone/Fax

Practice location:
  • Phone: 319-656-3134
  • Fax: 319-656-3165
Mailing address:
  • Phone: 660-947-2480
  • Fax: 660-947-7912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15867
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: