# ROCKWELL COLLINS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROCKWELL COLLINS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689695637
- **Authorized official:** MARY HALEY RPH (MANAGER)
- **Authorized official phone:** (319) 295-9365

## Contact information

- **Practice address:** 5070 ROCKWELL DR NE, CEDAR RAPIDS, IA 52402
- **Practice address phone:** (319) 295-9365
- **Practice address fax:** (319) 373-4414
- **Mailing address:** 5070 ROCKWELL DR NE, CEDAR RAPIDS, IA 52402
- **Mailing address phone:** (319) 295-9365
- **Mailing address fax:** (319) 373-4414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336M0003X | Managed Care Organization Pharmacy | 825 | IA | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 07/31/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1617452 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |