Organization
GBANK HEALTH LLC
Active
Other names
North Liberty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RENEE MULL PHARMD (DIRECTOR OF PHARMACY OPERATIONS)
(563) 505-3528
Entity
Organization
Contact information
Practice address
555 W CHERRY ST, NORTH LIBERTY, IA 52317-9797
(319) 626-6188
(319) 626-6195
Mailing address
555 W CHERRY ST, NORTH LIBERTY, IA 52317-9797
(319) 626-6188
(319) 626-6195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
402
IA
3336C0003X
Community/Retail Pharmacy
Primary
402
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447355433
—
IA
Enumeration date
09/14/2006
Last updated
08/05/2024
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