Organization
CENTRAL IOWA COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN HORTON RPH (OWNER PHARMACIST)
(515) 252-7688
Entity
Organization
Contact information
Practice address
3290 100TH ST, URBANDALE, IA 50322-3879
(515) 252-7688
(515) 252-7705
Mailing address
3290 100TH ST, URBANDALE, IA 50322-3879
(515) 252-7688
(515) 252-7705
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
762
IA
Other
Enumeration date
03/06/2007
Last updated
06/11/2014
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