Organization
GBANK HEALTH LLC
Active
Other names
Amana Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA RENEE MULL PHARMD (DIRECTOR OF PHARMACY)
(563) 505-3528
Entity
Organization
Contact information
Practice address
507 39TH AVE, AMANA, IA 52203-8229
(319) 622-3341
(319) 622-3307
Mailing address
507 39TH AVE, AMANA, IA 52203-8229
(319) 622-3341
(319) 622-3307
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053354811
—
IA
Enumeration date
06/13/2006
Last updated
08/05/2024
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