MEDICARE: JOHN JOSEPH FORBES 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
1	183500000X	Pharmacist	15716	IA

Other Identifiers

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

General Provider Information

NPI Number	:	1699770024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN JOSEPH FORBES RPH

Provider Business Mailing Address
First Line	:	8170 DOUGLAS AVE
Second Line	:
City	:	URBANDALE
State	:	IA
Zip	:	50322
Country	:	US
Telephone Number	:	515-276-3471
Fax Number	:	515-276-7482

Provider Business Practice Location Address
First Line	:	8170 DOUGLAS AVE
Second Line	:
City	:	URBANDALE
State	:	IA
Zip	:	50322
Country	:	US
Telephone Number	:	515-276-3471
Fax Number	:	515-276-7482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	08/05/2015

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Directions to “ JOHN JOSEPH FORBES RPH” Practice Location

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