Organization
GUARDIAN PHARMACY OF IOWA, LLC
Active
Other names
Ankeny Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROCKFORD ANDERSON (PRESIDENT)
(515) 963-1640
Entity
Organization
Contact information
Practice address
1325 SW ORALABOR RD, STE 200, ANKENY, IA 50023-8046
(515) 289-4008
(515) 289-2383
Mailing address
PO BOX 11407, DEPT #5862, BIRMINGHAM, AL 35246-5862
(404) 810-0089
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1621
IA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0410866
—
IA
01
—
2175018
PK
—
Enumeration date
10/25/2017
Last updated
06/11/2019
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