Healthcare Provider Details

I. General information

NPI: 1861549222
Provider Name (Legal Business Name): APOTHECARE, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 W NISHNA RD
SHENANDOAH IA
51601-2116
US

IV. Provider business mailing address

1208 W NISHNA RD
SHENANDOAH IA
51601-2116
US

V. Phone/Fax

Practice location:
  • Phone: 712-246-2920
  • Fax: 712-246-2811
Mailing address:
  • Phone: 712-246-2920
  • Fax: 712-246-2811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number986
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. WARREN A NARDUCCI
Title or Position: OWNER
Credential: PHARM.D.
Phone: 712-246-2920