Medical Plaza Pharmacy

LBN: Medical Plaza Pharmacy
Medical Plaza Pharmacy is an health care organization with primary practice located at 540 E Jefferson St Suite 104, Iowa City IA 52245-2477. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Medical Plaza Pharmacy can be contacted via phone (319) 337-3966, or through Deninger, Michael via phone (319) 337-3966.

Contact Information

Primary practice address
540 E Jefferson St Suite 104 Iowa City IA 52245-2477
Phone: (319) 337-3966
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deninger, Michael PH.D. RPH.
Phone: (319) 337-3966

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 170 Iowa

Profile Details

NPI number 1750372223
LBN Legal business name Medical Plaza Pharmacy
DBA Doing business as
Authorized official Deninger, Michael PH.D. RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 17th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750372223 NPPES
Iowa MEDICAID 0014225

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