Organization
STATE UNIVERSITY OF IOWA
Active
Parent organization
STATE UNIVERSITY OF IOWA
Other names
North Dodge Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE UNIVERSITY OF IOWA
Authorized official
JOE M MCKELVEY (SR DIR OF GOVT REIMBURSEMENT)
(319) 467-8549
Entity
Organization
Contact information
Practice address
1360 N DODGE ST STE 1100, IOWA CITY, IA 52245-6104
(319) 678-8222
(319) 467-6048
Mailing address
1360 N DODGE ST STE 1100, IOWA CITY, IA 52245-6104
(319) 678-8222
(319) 467-6048
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
03/12/2019
Last updated
02/14/2025
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