Organization
ROCKWELL COLLINS PHARMACY
Active
Other names
ROCKWELL COLLINS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HALEY RPH (MANAGER)
(319) 295-9365
Entity
Organization
Contact information
Practice address
5070 ROCKWELL DR NE, CEDAR RAPIDS, IA 52402
(319) 295-9365
(319) 373-4414
Mailing address
5070 ROCKWELL DR NE, CEDAR RAPIDS, IA 52402
(319) 295-9365
(319) 373-4414
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
825
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617452
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
07/31/2009
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