MEDICARE: REUTZEL PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801900642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REUTZEL PHARMACY INC

Provider Business Mailing Address
First Line	:	617 8TH AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2117
Country	:	US
Telephone Number	:	319-364-4181
Fax Number	:	319-363-5448

Provider Business Practice Location Address
First Line	:	617 8TH AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2117
Country	:	US
Telephone Number	:	319-364-4181
Fax Number	:	319-365-0267

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	DR. AMANDA RENEE MULL
Credential	:	PHARMD
Telephone Number	:	563-505-3528

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	08/05/2024

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