Allen Clinic Pharmacy

LBN: Allen Memorial Hospital Corporation
Allen Clinic Pharmacy is an health care organization with primary practice located at 146 W Dale St Suite 103, Waterloo IA 50703-1901. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Allen Memorial Hospital Corporation can be contacted via phone (319) 235-3777, or through Bucknell, Amy via phone (319) 235-3134.

Contact Information

Primary practice address
146 W Dale St Suite 103 Waterloo IA 50703-1901
Phone: (319) 235-3777
Fax: (319) 235-3134
Website:
Map and Directions
Authorized official contact:
Name: Bucknell, Amy PHARMD
Phone: (319) 235-3134

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 950 Iowa

Profile Details

NPI number 1659461572
LBN Legal business name Allen Memorial Hospital Corporation
DBA Doing business as Allen Clinic Pharmacy
Authorized official Bucknell, Amy PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Nov 7th, 2016 - about 9 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 1659461572 NPPES
Other 2029507 PK
MEDICAID 1618377 PK

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