Organization
ALLEN MEMORIAL HOSPITAL CORPORATION
Active
Other names
ALLEN CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BUCKNELL PHARMD (PIC)
(319) 235-3134
Entity
Organization
Contact information
Practice address
146 W DALE ST, SUITE 103, WATERLOO, IA 50703-1901
(319) 235-3777
(319) 235-3134
Mailing address
146 W DALE ST, SUITE 103, WATERLOO, IA 50703-1901
(319) 235-3777
(319) 235-3134
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
950
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1618377
—
IA
01
—
2029507
PK
—
Enumeration date
10/13/2006
Last updated
11/07/2016
Update your record
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