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NPI Code Detail

MEDICARE: DR. MICHELE MARIE EVINK MS, PHARMD

MEDICARE: DR. MICHELE MARIE EVINK MS, PHARMD
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
1183500000XPharmacist17254IA

General Provider Information

NPI Number : 1982698650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELE MARIE EVINK MS, PHARMD
Provider Business Mailing Address
First Line : PO BOX 443
Second Line :
City : OSCEOLA
State : IA
Zip : 50213-0443
Country : US
Telephone Number : 641-342-3611
Fax Number : 641-342-5429
Provider Business Practice Location Address
First Line : 800 S FILLMORE ST
Second Line :
City : OSCEOLA
State : IA
Zip : 50213-1619
Country : US
Telephone Number : 641-342-5322
Fax Number : 641-342-5429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 09/24/2009

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