Provider Demographics
NPI:1447762885
Name:GUARDIAN PHARMACY OF IOWA LLC
Entity Type:Organization
Organization Name:GUARDIAN PHARMACY OF IOWA LLC
Other - Org Name:RIGHT DOSE PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROCKFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-963-1640
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:DEPT #5861
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-5861
Mailing Address - Country:US
Mailing Address - Phone:515-963-1640
Mailing Address - Fax:
Practice Address - Street 1:6300 ROCKWELL DR NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-7216
Practice Address - Country:US
Practice Address - Phone:319-214-5265
Practice Address - Fax:515-963-7752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
IA16233336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0410889Medicaid
2175025OtherPK