MEDICARE: JOELLE EAGER 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	21114	IA

General Provider Information

NPI Number	:	1790056406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOELLE EAGER RPH

Provider Business Mailing Address
First Line	:	4008 MAPLE ST
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-3889
Country	:	US
Telephone Number	:	515-491-8754
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 MILLS CIVIC PKWY
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-5262
Country	:	US
Telephone Number	:	515-223-8166
Fax Number	:

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

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	01/26/2012

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Directions to “ JOELLE EAGER RPH” Practice Location

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