Organization
FAMILY PRACTICE CENTER PHCY
Active
Parent organization
NORTHEAST IOWA MEDICAL EDUCATION FOUNDATION, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST IOWA MEDICAL EDUCATION FOUNDATION, INC
Authorized official
JAMES D HOEHNS PHARM D (PHARMIST)
(319) 272-2112
Entity
Organization
Contact information
Practice address
2055 KIMBALL AVE, SUITE 101, WATERLOO, IA 50702-5047
(319) 272-2112
(319) 272-2107
Mailing address
2055 KIMBALL AVE, SUITE 101, WATERLOO, IA 50702-5047
(319) 272-2112
(319) 272-2107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1482
IA
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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