State University of Iowa

NPI #1174845101 in Riverside, Iowa

Provider Information

NPI Number
1174845101
Entity Type
Organization
Organization Name
State University of Iowa
Primary Specialty
Pharmacy
Enumeration Date
Feb 18, 2010
Last Updated
Sep 6, 2018

Practice Location

Address
3056 RIVER CROSSING COURT
Address 2
STE A
State
Iowa
ZIP Code
52327
Phone
(319) 467-8383

Authorized Official

Name
JAY BROOKS JACKSON, MD
Title
VICE PRESIDENT FOR MEDICAL AFFAIRS
Phone
(319) 335-8064

Specialties & Taxonomy Codes

Specialty
Pharmacy - Clinic PharmacyClinic Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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State University of Iowa

Part of State University of Iowa

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