Organization
CATHOLIC HEALTH INITIATIVES-IOWA CORP
Active
Organization
CATHOLIC HEALTH INITIATIVES-IOWA CORP
Active
Other names
MercyOne Des Moines Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KURT ANDERSEN (PRESIDENT)
(515) 358-9200
Entity
Organization
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-4429
(515) 643-8965
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-4429
(515) 643-8965
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
593
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212449
—
IA
01
—
2027961
PK
—
Enumeration date
06/08/2006
Last updated
10/21/2024
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