Organization
ST LUKES METHODIST HOSPITAL
Active
Other names
UnityPoint Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK THIES RPH (DIRECTOR OF PHARMACY)
(319) 368-5861
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
1439-43
WI
3336I0012X
Institutional Pharmacy
Primary
1259
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629171780
—
IA
01
—
2026320
PK
—
Enumeration date
09/06/2006
Last updated
08/17/2016
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