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Organization
ST LUKES METHODIST HOSPITAL
Active
Organization
ST LUKES METHODIST HOSPITAL
Active
Other names
Unity Point Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAT THIES RPH (DIRECTOR OF PHARMACY)
(319) 368-5761
Entity
Organization
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7528
(319) 368-5619
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7528
(319) 368-5619
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
1322
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629171780
—
IA
01
—
2030448
PK
—
Enumeration date
05/25/2007
Last updated
09/12/2016
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