Healthcare Provider Details

I. General information

NPI: 1316873839
Provider Name (Legal Business Name): MICHELLE LOOBY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 PLEASANT ST
DES MOINES IA
50309-1423
US

IV. Provider business mailing address

3734 WINDROSE LN
WAUKEE IA
50263-3526
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-4018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number25301
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: