Provider Demographics
NPI:1750830238
Name:IOWA PRESCRIPTION DRUG CORPORATION
Entity Type:Organization
Organization Name:IOWA PRESCRIPTION DRUG CORPORATION
Other - Org Name:SAFENETRX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JON-MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ROSMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-327-5405
Mailing Address - Street 1:1500 SE 19TH ST STE 530
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-5280
Mailing Address - Country:US
Mailing Address - Phone:515-327-5405
Mailing Address - Fax:515-327-5422
Practice Address - Street 1:1500 SE 19TH ST STE 530
Practice Address - Street 2:
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-5280
Practice Address - Country:US
Practice Address - Phone:515-327-5405
Practice Address - Fax:515-327-5422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy