State University Of Iowa
Clinic Pharmacy
105 E 9th Street, Suite A, Coralville
Iowa, 52241
319-467-2050 319-467-2070
State University Of Iowa is a Clinic Pharmacy in Coralville, Iowa. It is located at 105 E 9th Street, Suite A, Coralville and it's customer support contact number is 319-467-2050. The authorized person of State University Of Iowa is Joe M Mckelvey who is Sr Dir Of Govt Reimbursement of the pharmacy and his contact number is 319-467-8549. Active license number of State University Of Iowa is 1419 for Clinic Pharmacy in Iowa. State University Of Iowa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
State University Of Iowa is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
State University Of Iowa type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | State University Of Iowa |
| Type: | Clinic Pharmacy |
| Location: | 105 E 9th Street, Suite A, Coralville,
Iowa, 52241 |
| Phone: | 319-467-2050 |
| Fax: | 319-467-2070 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Joe M Mckelvey |
| Position: | Sr Dir Of Govt Reimbursement |
| Contact Number: | 319-467-8549 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1811246473 |
| NPI Enumeration Date: | 29 Aug, 2012 |
| NPI Last Update On: | 14 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State University Of Iowa are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 1419 | Iowa | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1107919 | Other | Iowa | Controlled Substance Registration |
| 1419 | Other | Iowa | State Pharmacy License |
Medicare Enrollment:
State University Of Iowa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7618884230 | O20130129000169 | State University Of Iowa | DME SUPPLIER - PHARMACY |
Products Available:
State University Of Iowa has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Surgical Dressings | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 105 E 9th Street, Suite A
Coralville, Iowa |
| Zip: | 52241 |
| Phone Number: | 319-467-2050 |
| Fax Number: | 319-467-2070 |
Patients can reach State University Of Iowa at
105 E 9th Street, Suite A, Coralville, Iowa or can
call on customer care at 319-467-2050.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.