Provider Demographics
NPI:1538056502
Name:ASCENT PHARMACY OF IOWA
Entity type:Organization
Organization Name:ASCENT PHARMACY OF IOWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:WOODBURY
Authorized Official - Last Name:ORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-461-0477
Mailing Address - Street 1:300 W BURLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52556-3241
Mailing Address - Country:US
Mailing Address - Phone:641-472-7987
Mailing Address - Fax:
Practice Address - Street 1:300 W BURLINGTON AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IA
Practice Address - Zip Code:52556-3241
Practice Address - Country:US
Practice Address - Phone:641-472-7987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy