Provider Demographics
NPI:1346376332
Name:TSHC PHARMACY
Entity Type:Organization
Organization Name:TSHC PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:YEAKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-294-4041
Mailing Address - Street 1:2260 THIELEN STUDENT HEALTH CENTER
Mailing Address - Street 2:UNION & SHELDON
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50011-2260
Mailing Address - Country:US
Mailing Address - Phone:515-294-5802
Mailing Address - Fax:515-294-5457
Practice Address - Street 1:2260 THIELEN STUDENT HEALTH CENTER
Practice Address - Street 2:UNION & SHELDON
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50011-2260
Practice Address - Country:US
Practice Address - Phone:515-294-5802
Practice Address - Fax:515-294-5457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy