Provider Demographics
NPI:1770707051
Name:LOONEY, NED J (NMD, RPH)
Entity type:Individual
Prefix:DR
First Name:NED
Middle Name:J
Last Name:LOONEY
Suffix:
Gender:M
Credentials:NMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6265 NE RISING SUN DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:IA
Mailing Address - Zip Code:50327-2159
Mailing Address - Country:US
Mailing Address - Phone:515-468-7041
Mailing Address - Fax:
Practice Address - Street 1:6265 NE RISING SUN DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-2159
Practice Address - Country:US
Practice Address - Phone:515-468-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15194183500000X
175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No175F00000XOther Service ProvidersNaturopath