Provider Demographics
NPI:1770504722
Name:UNIVERSITY HEALTH SERVICES PHARMACY
Entity Type:Organization
Organization Name:UNIVERSITY HEALTH SERVICES PHARMACY
Other - Org Name:UNIVERSITY OF NORTHERN IOWA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFFEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:319-273-2154
Mailing Address - Street 1:UNI PHARMACY STUDENT HEALTH CTR
Mailing Address - Street 2:1227 W 23RD ST
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50614-0221
Mailing Address - Country:US
Mailing Address - Phone:319-273-2154
Mailing Address - Fax:319-273-5101
Practice Address - Street 1:UNI PHARMACY STUDENT HEALTH CTR
Practice Address - Street 2:1227 W 23RD ST
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50614-0221
Practice Address - Country:US
Practice Address - Phone:319-273-2154
Practice Address - Fax:319-273-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA253336C0002X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2026521OtherPK