Greenwood Compounding Pharmacy

LBN: Professional Compounding Center Of Iowa, Inc.
Greenwood Compounding Pharmacy is an health care organization with primary practice located at 2104 Kimball Ave. Suite A, Waterloo IA 50702-5037. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Professional Compounding Center Of Iowa, Inc. can be contacted via phone (319) 433-0393, or through Hughes, Jennifer Leigh via phone (319) 433-0393.

Contact Information

Primary practice address
2104 Kimball Ave. Suite A Waterloo IA 50702-5037
Phone: (319) 433-0393
Fax: (319) 234-5627
Website:
Map and Directions
Authorized official contact:
Name: Hughes, Jennifer Leigh PHARMD
Phone: (319) 433-0393

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1114002284
LBN Legal business name Professional Compounding Center Of Iowa, Inc.
DBA Doing business as Greenwood Compounding Pharmacy
Authorized official Hughes, Jennifer Leigh PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 14th, 2018 - about 6 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 1114002284 NPPES
Iowa MEDICAID 0489625

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