Provider Demographics
NPI:1033435433
Name:RASHID PHARMACY PLC
Entity Type:Organization
Organization Name:RASHID PHARMACY PLC
Other - Org Name:RASHID LONG TERM CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTRACTS
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:DINWIDDIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-372-2300
Mailing Address - Street 1:2404 AVENUE L
Mailing Address - Street 2:
Mailing Address - City:FORT MADISON
Mailing Address - State:IA
Mailing Address - Zip Code:52627-3933
Mailing Address - Country:US
Mailing Address - Phone:319-372-2300
Mailing Address - Fax:319-372-4418
Practice Address - Street 1:2402 AVENUE L
Practice Address - Street 2:
Practice Address - City:FORT MADISON
Practice Address - State:IA
Practice Address - Zip Code:52627-3933
Practice Address - Country:US
Practice Address - Phone:319-376-2358
Practice Address - Fax:319-372-4418
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RASHID PHARMACY PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054.4017864333600000X
3336C0003X
MO20120291193336C0004X
IA11293336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL54.017864OtherSTATE OF IL LICENSE
MO2012029119OtherLICENSE
2124396OtherPK
IA0205979Medicaid
IL54.017864OtherLICENSE
IA1129OtherIOWA BOARD OF PHARMACY