Healthcare Provider Details

I. General information

NPI: 1396880795
Provider Name (Legal Business Name): SHAWN CURTIS ROE PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

1905 SILVER MAPLE TRL
NORTH LIBERTY IA
52317-4763
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-1616
  • Fax:
Mailing address:
  • Phone: 319-551-4928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19653
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: