Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Dawn Ibaviosa, RPH

Individual provider Pharmacist · NPI 1134611510

Angela Dawn Ibaviosa, RPH is a Pharmacist in Desloge, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

Parkland Health Mart 617 N Cowling Ste G
Desloge, MO 63601
Phone: (573) 431-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 043721 (MO)

Record details

NPI number1134611510
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESJune 1, 2018

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