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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