Professional Compounding Center Of Iowa, Inc. in Waterloo - Compounding Pharmacy
Professional Compounding Center Of Iowa, Inc. - NPI 1114002284
Professional Compounding Center Of Iowa, Inc. is a Compounding Pharmacy in Waterloo, Iowa. Professional Compounding Center Of Iowa, Inc. practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Professional Compounding Center Of Iowa, Inc. is 1114002284. The last update date is 2018-08-14.
Professional Compounding Center Of Iowa, Inc.'s current location address is 2104 Kimball Ave., Waterloo, Iowa. You can contact this provider via phone number 3194330393 and fax number 3192345627. The mailing address for Professional Compounding Center Of Iowa, Inc. is 2104 Kimball Ave., Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Compounding Center Of Iowa, Inc. |
|---|---|
| Address | 2104 Kimball Ave., Waterloo, Iowa |
| Phone Number | 3194330393 |
| Fax Number | 3192345627 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Hughes Leigh Jennifer |
| Credentials | PHARMD |
| Telephone Number | 3194330393 |
NPI Number Detail
| NPI Number | 1114002284 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2018-08-14 |
Provider Mailing Address Detail
| Address | 2104 Kimball Ave. |
|---|---|
| City | Waterloo |
| State | Iowa (IA) |
| Post Code | 507025037 |
| Phone Number | 3194330393 |
| Fax Number | 3192345627 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 489625 | IA | -- |
Post Comment/ Review Below
What is the Professional Compounding Center Of Iowa, Inc.'s 1114002284?
The Professional Compounding Center Of Iowa, Inc.'s NPI (National Provider Identifier) Number is 1114002284. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Professional Compounding Center Of Iowa, Inc. is located?
The Professional Compounding Center Of Iowa, Inc. is situated at the following address: 2104 Kimball Ave., Waterloo, IA, 507025037.
What is Professional Compounding Center Of Iowa, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Professional Compounding Center Of Iowa, Inc. is Compounding Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0004X.
On what date was the 1114002284 assigned to Professional Compounding Center Of Iowa, Inc.?
The Professional Compounding Center Of Iowa, Inc. was issued its 1114002284 on 2006-10-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Professional Compounding Center Of Iowa, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Professional Compounding Center Of Iowa, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-08-14.
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