Organization
GBANK HEALTH LLC
Active
Other names
Mount Vernon 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
101 1ST ST NE, MOUNT VERNON, IA 52314-1422
(319) 895-6248
(319) 895-6991
Mailing address
101 1ST ST NE, MOUNT VERNON, IA 52314-1422
(319) 895-6348
(319) 895-6991
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871687905
—
IA
Enumeration date
10/03/2006
Last updated
08/05/2024
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