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COVENANT MEDICAL CENTER INC NPI 1497796494


NPI Information

NPI: 1497796494
Provider Name: COVENANT MEDICAL CENTER INC

Doing Business As: MERCYONE WATERLOO PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 16D0384869

Address:
2710 SAINT FRANCIS DR
STE 101
WATERLOO, IA
ZIP 50702
Phone: (319) 272-5700
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COVENANT MEDICAL CENTER INC is a community/retail pharmacy pharmacy in Waterloo, IA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COVENANT MEDICAL CENTER INC NPI is 1497796494. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercyone Waterloo Pharmacy.

The provider's business location address is:

2710 SAINT FRANCIS DR
STE 101
WATERLOO, IA
ZIP 50702-619
Phone: (319) 272-5700
Fax: (319) 272-0188

The provider's authorized official is Timothy Huber .
The authorized official title is Controller and has the following contact phone number (319) 272-7600.

The CLIA number assigned to this NPI record is 16D0384869 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 10/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy284IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10086330MEDICAIDIOWA
22130096OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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