Organization
AMICARE PHARMACY, INC
Active
Other names
Amicare 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
3740 UTICA RIDGE RD, BETTENDORF, IA 52722-1657
(563) 344-7450
(563) 344-7483
Mailing address
3740 UTICA RIDGE RD, BETTENDORF, IA 52722-1657
(563) 344-7450
(563) 344-7483
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
245
IA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114934239
—
IA
Enumeration date
08/02/2006
Last updated
08/05/2024
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