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Organization

CATHOLIC HEALTH INITIATIVES-IOWA CORP

Active
Other names
MercyOne Ankeny Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
KURT ANDERSEN (PRESIDENT)
(515) 358-9200
Entity
Organization

Contact information

Practice address
800 E 1ST ST, STE 1800, ANKENY, IA 50021-2077
(515) 643-7590
(515) 643-7595
Mailing address
405 SW 5TH ST STE E, DES MOINES, IA 50309-4675
(515) 358-7271
(515) 358-7294

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
1261
IA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0450403
IA
01
2030313
PK
Enumeration date
06/09/2005
Last updated
10/21/2024
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