Provider Demographics
NPI:1023451721
Name:DRAKE UNIVERSITY COLLEGE OF PHARMACY
Entity type:Organization
Organization Name:DRAKE UNIVERSITY COLLEGE OF PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WELTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-271-1849
Mailing Address - Street 1:2802 FOREST AVE
Mailing Address - Street 2:CLINE HALL
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50311-3010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2802 FOREST AVE
Practice Address - Street 2:CLINE HALL
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50311-3010
Practice Address - Country:US
Practice Address - Phone:515-271-1849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA7271835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty