National Provider Identifier Database

ALLEN MEMORIAL HOSPITAL CORPORATION
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

ALLEN MEMORIAL HOSPITAL CORPORATION
146 W DALE ST
SUITE 103
WATERLOO, IA50703-1901
Phone: 319-235-3777
Fax: 319-235-3134
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for ALLEN MEMORIAL HOSPITAL CORPORATION

NPI Number 1659461572
Legal business name
LBN
ALLEN MEMORIAL HOSPITAL CORPORATION
Authorized official AMY BUCKNELL - (PIC)
Entity Organization
Organization subpart No
Enumeration date 10/13/2006
Last updated 11/07/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 950
  • IA Medicaid: 1618377
  • Other: 2029507 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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