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ROCKWELL COLLINS PHARMACY

Managed Care Organization Pharmacy

Cedar Rapids, Iowa

Provider NPI: 1689695637

Organization Information:
Organization Name:  ROCKWELL COLLINS PHARMACY


Practice Location:
5070 ROCKWELL DR NE  CEDAR RAPIDS, IA 52402 US
Tel: 319-295-9365  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336M0003XSuppliers
Pharmacy
Managed Care Organization Pharmacy
IA825

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER161745201
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MANAGED CARE JOBS IA - Page 1



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