IOWA CITY PHARMACY (2825)    INSTITUTION (4)

Name Value
NAME IOWA CITY PHARMACY
STATE IOWA
STREET ADDR. 1 601 HIGHWAY 6 W
CITY IOWA CITY
ZIP 52246-2209
OFFICIAL VA NAME Iowa City Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME IOWA CITY VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1376591271
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   601 HWY 6 WEST
    CITY (CHANGED FROM):   IOWA CITY
    STATE (CHANGED FROM):   IOWA
    ZIP (CHANGED FROM):   52246-2292
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1376591271