Individual provider · Type 1 NPI

Mary Beth Versgrove

Pharmacist · Iowa City, IA

NPI number 1053453761 Active

Practice location

200 Hawkins Dr, CC101 Gh
Iowa City, IA 52242-1009

Mailing address

3117 Raven St
Iowa City, IA 52245-5127

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X15357 (IA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1053453761

Mary Beth Versgrove's National Provider Identifier is 1053453761, issued on Feb 12, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Iowa City, IA. The record was last updated on Jul 8, 2007.