=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477185742
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDSEY M RIOS PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2020
-----------------------------------------------------
Last Update Date | 02/05/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 301 HIGHWAY 34 W
-----------------------------------------------------
City | ALBIA
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52531-9601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 641-932-2188
-----------------------------------------------------
Fax | 641-932-3460
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 301 HIGHWAY 34 W
-----------------------------------------------------
City | ALBIA
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52531-9601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 641-932-2188
-----------------------------------------------------
Fax | 641-932-3460
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 13373
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 44245
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 21296
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------