NPI | 1407876204 |
---|---|
Doing Business As | LUTZ PHARMACY |
Entity Type | Organization |
Authorized Contact | EUGENE MARTIN LUTZ President 515-967-4213 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 40) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 40) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2010-10-15 |