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Organization
PROFESSIONAL COMPOUNDING CENTER OF IOWA, INC.
Active
Organization
PROFESSIONAL COMPOUNDING CENTER OF IOWA, INC.
Active
Other names
Greenwood Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LEIGH HUGHES PHARMD (PHARMACIST-IN-CHARGE/MANAGER)
(319) 433-0393
Entity
Organization
Contact information
Practice address
2104 KIMBALL AVE., SUITE A, WATERLOO, IA 50702-5037
(319) 433-0393
(319) 234-5627
Mailing address
2104 KIMBALL AVE., SUITE A., WATERLOO, IA 50702-5037
(319) 433-0393
(319) 234-5627
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489625
—
IA
Enumeration date
10/26/2006
Last updated
08/14/2018
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