Organization
GUTTENBERG PHARMACY INC
Active
Other names
Guttenberg Home Health Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SHANNON RPH (PRESIDENT)
(563) 252-1172
Entity
Organization
Contact information
Practice address
807 S HIGHWAY 52, GUTTENBERG, IA 52052-0280
(563) 252-1172
(563) 252-3724
Mailing address
807 S HIGHWAY 52, PO BOX 280, GUTTENBERG, IA 52052-0280
(563) 252-1172
(563) 252-3724
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076760
—
IA
01
—
23038
BCBS
IA
Enumeration date
02/24/2006
Last updated
08/22/2020
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