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Organization

CATHOLIC HEALTH INITIATIVES-IOWA CORP.

Active
Parent organization
CATHOLIC HEALTH INITIATIVES
Other names
Mercy Specialty Care Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
CATHOLIC HEALTH INITIATIVES
Authorized official
MR. DAVID H VELLINGA (PRESIDENT/CEO)
(515) 247-4278
Entity
Organization

Contact information

Practice address
1750 48TH ST, STE 4, DES MOINES, IA 50310-1988
(515) 271-6466
(515) 271-6471
Mailing address
1750 48TH ST, STE 4, DES MOINES, IA 50310-1988
(515) 271-6466
(515) 271-6471

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1081
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0202986
IA
01
1620005
NABP
Enumeration date
11/18/2005
Last updated
07/16/2013
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