# PCA IOWA RX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104385806
- **Authorized official:** CRISTINA PIETROWSKI (EVP, CHIEF LEGAL OFFICER & SECRETAR)
- **Authorized official phone:** (502) 412-5847

## Contact information

- **Practice address:** 4307 NW URBANDALE DR, URBANDALE, IA 50322-7910
- **Practice address phone:** (866) 579-3181
- **Practice address fax:** (502) 996-8148
- **Mailing address:** 303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2019
- **Last updated:** 07/30/2025