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NPI Code Detail

MEDICARE: MR. MAX R NEDVED RPH

MEDICARE: MR. MAX R NEDVED RPH
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
1183500000XPharmacist15532IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013137595
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MAX R NEDVED RPH
Provider Business Mailing Address
First Line : 2042 CHASE AVE
Second Line :
City : WEBSTER CITY
State : IA
Zip : 50595-7484
Country : US
Telephone Number : 515-543-5703
Fax Number :
Provider Business Practice Location Address
First Line : 800 OHIO ST
Second Line :
City : WEBSTER CITY
State : IA
Zip : 50595-2824
Country : US
Telephone Number : 515-832-7745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 12/10/2007

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