| Organization Name: | IOWA VETERANS HOME |
| NPI Number: | 1043419070 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN J RICHARDSON (ACCT CLRK II) |
| Mailing Address: | 1301 Summit St Marshalltown |
| State: | IA US |
| Postal Code: | 501585484 |
| Phone Number: | 6417534518 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2007 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |