Organization
PHARMACY SERVICES, INC
Active
Other names
Lutz Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE MARTIN LUTZ R.PH. (OWNER/MANAGER)
(515) 967-4214
Entity
Organization
Contact information
Practice address
120 8TH ST SE, SUITE B, ALTOONA, IA 50009-1950
(515) 967-4214
(515) 967-3402
Mailing address
120 8TH ST SE, SUITE B, ALTOONA, IA 50009-1950
(515) 967-4214
(515) 967-3402
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1327
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1327
PHARMACY LICENSE
IA
01
—
1623114
NCPDP
IA
Enumeration date
08/01/2007
Last updated
08/01/2007
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