Organization
STATE UNIVERSITY OF IOWA
Active
Other names
UI Healthcare-Iowa River Landing Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOE M MCKELVEY (SR DIR OF GOVT REIMBURSEMENT)
(319) 467-8549
Entity
Organization
Contact information
Practice address
105 E 9TH STREET, SUITE A, CORALVILLE, IA 52241
(319) 467-2050
(319) 467-2070
Mailing address
105 E 9TH STREET, SUITE A, CORALVILLE, IA 52241
(319) 467-2050
(319) 467-2070
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
1419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107919
CONTROLLED SUBSTANCE REGISTRATION
IA
01
—
1419
STATE PHARMACY LICENSE
IA
Enumeration date
08/29/2012
Last updated
02/14/2025
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