Organization
GBANK HEALTH LLC
Active
Other names
Tipton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA RENEE MULL PHARMD (DIRECTOR OF PHARMACY)
(563) 505-3528
Entity
Organization
Contact information
Practice address
124 E 5TH STREET, TIPTON, IA 52772
(563) 886-2158
(563) 886-1233
Mailing address
124 E 5TH STREET, TIPTON, IA 52772
(563) 886-2158
(563) 886-1233
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780778811
—
IA
Enumeration date
10/03/2006
Last updated
08/05/2024
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