Healthcare Provider Details

I. General information

NPI: 1184149023
Provider Name (Legal Business Name): COURTNEY ALLISON TIGGES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 10/20/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2306 MUSCATINE AVE
IOWA CITY IA
52240-6637
US

IV. Provider business mailing address

2306 MUSCATINE AVE
IOWA CITY IA
52240-6637
US

V. Phone/Fax

Practice location:
  • Phone: 319-337-3526
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24308
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: