Ui Healthcare-Iowa River Landing Pharmacy

LBN: State University Of Iowa
Ui Healthcare-Iowa River Landing Pharmacy is an health care organization with primary practice located at 105 E 9Th Street Suite A, Coralville IA 52241. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. State University Of Iowa can be contacted via phone (319) 467-2050, or through Jackson, Jay Brooks via phone (319) 335-8064.

Contact Information

Primary practice address
105 E 9Th Street Suite A Coralville IA 52241
Fax: (319) 467-2070
Website:
Authorized official contact:
Name: Jackson, Jay Brooks Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 1419 Iowa

Profile Details

NPI number 1811246473
LBN Legal business name State University Of Iowa
DBA Doing business as Ui Healthcare-Iowa River Landing Pharmacy
Authorized official Jackson, Jay Brooks Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2012
Last updated Nov 21st, 2018 - about 7 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 1811246473 NPPES
Iowa Other 1419 STATE PHARMACY LICENSE
Iowa Other 1107919 STATE PHARMACY LICENSE

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