Dale Keith Eads, RPH.
Individual provider Active NPI Pharmacist · Worthington, MN
NPI 1710968623 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1710968623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 112504-9 (MN)
- Practice address
- 1948 Dorathea Blvd
Worthington, MN 56187-1404 - Phone
- (507) 372-4670
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112504-9 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 112504-9 | MN | Yes |
Addresses
Primary practice location
1948 Dorathea Blvd
Worthington, MN 56187-1404
Mailing address
1948 Dorathea Blvd
Worthington, MN 56187-1404
Phone (507) 372-4670
Other providers in Worthington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.