Organization
MEDICAL PLAZA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DENINGER PH.D. RPH. (PARTNER)
(319) 337-3966
Entity
Organization
Contact information
Practice address
540 E JEFFERSON ST, SUITE 104, IOWA CITY, IA 52245-2477
(319) 337-3966
Mailing address
540 E JEFFERSON ST, SUITE 104, IOWA CITY, IA 52245-2477
(319) 337-3966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
170
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014225
—
IA
Enumeration date
11/02/2005
Last updated
07/17/2012
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