Organization
ST LUKES METHODIST HOSPITAL
Active
Other names
Apple Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY MUSICK (OWNER)
(319) 558-6317
Entity
Organization
Contact information
Practice address
9255 ATLANTIC DR SW, CEDAR RAPIDS, IA 52404-8950
(319) 396-1386
(319) 363-3041
Mailing address
9255 ATLANTIC DR SW, CEDAR RAPIDS, IA 52404-8950
(319) 396-1386
(319) 363-3041
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
438
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1613581
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/22/2006
Last updated
04/09/2012
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