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Organization
PHARMACY SERVICES, INC
Active
Organization
PHARMACY SERVICES, INC
Active
Other names
Lutz Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE MARTIN LUTZ R.PH. (OWNER/MANAGER)
(515) 967-4214
Entity
Organization
Contact information
Practice address
120 8TH ST SE, SUITE B, ALTOONA, IA 50009-1950
(515) 967-4214
(515) 967-3402
Mailing address
120 8TH ST SE, SUITE B, ALTOONA, IA 50009-1950
(515) 967-4214
(515) 967-3402
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1327
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1327
PHARMACY LICENSE
IA
01
—
1623114
NCPDP
IA
Enumeration date
08/01/2007
Last updated
08/01/2007
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