OrganizationActive
Alegent Creighton Health
NPI 1619396835 · Community/Retail Pharmacy · Council Bluffs, IA
Provider details
- NPI number
- 1619396835
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mike Tiesi, Senior Director of Pharmacy(402) 343-4546
Specialties & taxonomies
Suppliers
Suppliers
Practice location
3135 W Broadway
Suite 101
Council Bluffs, IA 51501-3359
Phone: (712) 242-2070
Fax: (712) 242-2077
Approximate (ZIP-level) locationGet directions
Mailing address
3135 W Broadway
Council Bluffs, IA 51501-3359
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2017-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.