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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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