Provider Demographics
NPI:1386255685
Name:DUNLEAVY, AMY REBECCA (PHARMD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:REBECCA
Last Name:DUNLEAVY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 NEWTON RD
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242
Mailing Address - Country:US
Mailing Address - Phone:319-335-7435
Mailing Address - Fax:319-335-7425
Practice Address - Street 1:801 NEWTON RD
Practice Address - Street 2:DENTAL SCIENCE BUILDING S340B
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-335-7435
Practice Address - Fax:319-335-7425
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist