ALLEN MEMORIAL HOSPITAL CORPORATION NPI 1659461572

NPI Information

NPI: 1659461572
Provider Name: ALLEN MEMORIAL HOSPITAL CORPORATION

Doing Business As: ALLEN CLINIC PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
146 W DALE ST
SUITE 103
WATERLOO, IA
ZIP 50703
Phone: (319) 235-3777
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ALLEN MEMORIAL HOSPITAL CORPORATION is a clinic pharmacy pharmacy in Waterloo, IA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. ALLEN MEMORIAL HOSPITAL CORPORATION NPI is 1659461572. The provider is registered as an organization entity type.
The provider Is Doing Business As Allen Clinic Pharmacy.

The provider's business location address is:

146 W DALE ST
SUITE 103
WATERLOO, IA
ZIP 50703-901
Phone: (319) 235-3777
Fax: (319) 235-3134

The provider's authorized official is Amy Bucknell .
The authorized official title is Pic and has the following contact phone number (319) 235-3134.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 11/7/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	950	IOWA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1015900003	MEDICARE NSC
2	2029507	OTHER		PK
3	1618377	MEDICAID	IOWA

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

NPI Synchronization or Removal

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