Organization
PHARMACY SERVICES, INC.
Active
Other names
Lutz Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE MARTIN LUTZ R.PH. (PRESIDENT)
(515) 967-4213
Entity
Organization
Contact information
Practice address
120 8TH ST SE, ALTOONA, IA 50009-1950
(515) 967-4213
(515) 967-3402
Mailing address
120 8TH ST SE, ALTOONA, IA 50009-1950
(515) 967-4213
(515) 967-3402
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
40
IA
3336L0003X
Long Term Care Pharmacy
40
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407876204
—
IA
01
—
1604568
NCPDP NUMBER
—
01
—
40
PHARMACY LICENSE NUMBER
IA
Enumeration date
07/21/2006
Last updated
10/15/2010
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