Organization
AMICARE PHARMACY INC
Active
Organization
AMICARE PHARMACY INC
Active
Other names
Amicare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEON GALEHOUSE RPH (MANAGER)
(319) 292-6600
Entity
Organization
Contact information
Practice address
1015 S HACKETT RD, WATERLOO, IA 50701-3500
(319) 292-6600
(319) 292-6612
Mailing address
1015 S HACKETT RD, SUITE 300, WATERLOO, IA 50701-3500
(319) 292-6600
(319) 292-6612
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
175
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175828
—
IA
01
—
2029349
PK
—
Enumeration date
12/26/2006
Last updated
01/21/2016
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