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State University Of Iowa
Clinic Pharmacy in Coralville, Iowa
NPI 1811246473

State University Of Iowa is a Clinic Pharmacy based in Coralville, IA and is specialized in Clinic Pharmacy. State University Of Iowa practices in Coralville, IA. The NPI Number for State University Of Iowa is 1811246473 and holds a License No. 1419 (Iowa).

The current practice location address for State University Of Iowa is 105 E 9Th Street, Coralville, IA and can be reached out via phone at 319-467-2050 and via fax at 319-467-2070.

Location: 105 E 9Th Street, Coralville, IA, 52241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811246473
Provider Name
State University Of Iowa
Credential
Provider Entity Type
Organization
Address
105 E 9Th Street, Coralville, IA, 52241
Phone Number
319-467-2050
Fax Number
319-467-2070
Provider Enumeration Date
08/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1419 01 IA STATE PHARMACY LICENSE
1107919 01 IA CONTROLLED SUBSTANCE REGISTRATION
institution
Provider Business Practice Location Address Details
Address
105 E 9Th Street
City
Coralville
State
Iowa
Zip
52241
Phone Number
319-467-2050
Fax Number
319-467-2070
person
Provider Business Mailing Address Details
Address
105 E 9Th Street
City
Coralville
State
Iowa
Zip
52241
Phone Number
319-467-2050
Fax Number
319-467-2070
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
1419 (Iowa)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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