State University of Iowa
NPI #1114732559 in North Liberty, Iowa
Provider Information
- NPI Number
- 1114732559
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 12, 2025
- Last Updated
- Feb 12, 2025
Practice Location
- Address
- 701 W FOREVERGREEN RD STE 1605
- City
- North Liberty
- State
- Iowa
- ZIP Code
- 52317-9848
- Phone
- (319) 485-0300
Authorized Official
- Name
- JOE M MCKELVEY
- Title
- SR DIRECTOR OF GOVT REIMBURSEMENT
- Phone
- (319) 467-8549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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