MEDICARE: RASHID PHARMACY PLC

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	332B00000X	Durable Medical Equipment & Medical Supplies	4568480001	IA
2	333600000X	Pharmacy	54.017864	IL
3	3336C0003X	Community/Retail Pharmacy	685	IA
4	3336C0003X	Community/Retail Pharmacy

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
2	IB1218	OTHER		VACCINATION PTAN
3	685	OTHER	IA	IOWA BOARD OF PHARMACY
4	2026014	OTHER		PK

General Provider Information

NPI Number	:	1881700144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RASHID PHARMACY PLC

Provider Business Mailing Address
First Line	:	2404 AVENUE L
Second Line	:
City	:	FORT MADISON
State	:	IA
Zip	:	52627-3933
Country	:	US
Telephone Number	:	319-372-2300
Fax Number	:	319-372-2357

Provider Business Practice Location Address
First Line	:	2404 AVENUE L
Second Line	:
City	:	FORT MADISON
State	:	IA
Zip	:	52627-3933
Country	:	US
Telephone Number	:	319-372-2300
Fax Number	:	319-372-2357

Authorized Official
Title or Position	:	PIC/POA
Name	:	THOMAS NELSON
Credential	:	RPH
Telephone Number	:	319-372-2300

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	08/15/2022

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Directions to “RASHID PHARMACY PLC ” Practice Location

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