National Provider Identifier Database

STATE UNIVERSITY OF IOWA
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

STATE UNIVERSITY OF IOWA
105 E 9TH STREET
SUITE A
CORALVILLE, IA52241
Phone: 319-467-2050
Fax: 319-467-2070
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for STATE UNIVERSITY OF IOWA

NPI Number 1811246473
Legal business name
LBN
STATE UNIVERSITY OF IOWA
Authorized official JOE MCKELVEY - (SR DIR OF GOVT REIMBURSEMENT)
Entity Organization
Organization subpart No
Enumeration date 08/29/2012
Last updated 02/14/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 1419
  • IA Other: 1107919 CONTROLLED SUBSTANCE REGISTRATION
  • IA Other: 1419 STATE PHARMACY LICENSE

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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