Healthcare Provider Details

I. General information

NPI: 1457028375
Provider Name (Legal Business Name): AARON MICHAEL MCDONOUGH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
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: 319-337-5271
Mailing address:
  • Phone: 319-337-3526
  • Fax: 319-337-5271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24188
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number24188
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number24188
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: