Organization
CENTRAL IOWA HOSPITAL CORPORATION
Active
Other names
IMMC Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BOORD (PHARMACY OPERATIONS MANAGER)
(515) 241-5942
Entity
Organization
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5936
(515) 241-5925
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5942
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1591
IA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166700
PK
—
Enumeration date
01/17/2017
Last updated
03/16/2017
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