Skip to form

Department of Inspections, Appeals, and Licensing

amanda.woltz@dia.iowa.gov

6200 Park Ave., Ste. 100 Des Moines, IA 50321

Main Line: 515.281.5944 Fax: 515.281.4609

Iowa Board of Pharmacy Contact Form

Full Name

First Name

Last Name

Full Address

Street Address

City

State

Zip

Email

Phone Number

If licensed/registered, please provide the license/registration #:

Reason for Contact

Compliance

General Question

PMP

Pharmacist or Pharmacist-intern

Pharmacy

CSA Registration

Technician or Technician Trainee

Pharmacy Support Person

Limited Distributor, Wholesale Distributor, 3PL, or Outsourcing Facility

Message

Receipt

You will be provided with a Receipt upon submission.

disregard this