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Professional Compounding Center Of Iowa, Inc.
Compounding Pharmacy in Waterloo, Iowa
NPI 1114002284

Professional Compounding Center Of Iowa, Inc. is a Compounding Pharmacy based in Waterloo, IA and is specialized in Compounding Pharmacy. Professional Compounding Center Of Iowa, Inc. practices in Waterloo, IA. The NPI Number for Professional Compounding Center Of Iowa, Inc. is 1114002284 and holds a License No. (Iowa).

The current practice location address for Professional Compounding Center Of Iowa, Inc. is 2104 Kimball Ave., Waterloo, IA and can be reached out via phone at 319-433-0393 and via fax at 319-234-5627.

Location: 2104 Kimball Ave., Waterloo, IA, 50702-5037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114002284
Provider Name
Professional Compounding Center Of Iowa, Inc.
Credential
Provider Entity Type
Organization
Address
2104 Kimball Ave., Waterloo, IA, 50702-5037
Phone Number
319-433-0393
Fax Number
319-234-5627
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0489625 05 IA
institution
Provider Business Practice Location Address Details
Address
2104 Kimball Ave.
City
Waterloo
State
Iowa
Zip
50702-5037
Phone Number
319-433-0393
Fax Number
319-234-5627
person
Provider Business Mailing Address Details
Address
2104 Kimball Ave.
City
Waterloo
State
Iowa
Zip
50702-5037
Phone Number
319-433-0393
Fax Number
319-234-5627
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
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Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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