Dewitt Pharmacy Inc in De Witt - Pharmacy

Dewitt Pharmacy Inc - NPI 1013928522

Dewitt Pharmacy Inc is a Pharmacy in De Witt, Iowa. Dewitt Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Dewitt Pharmacy Inc is 1013928522. The last update date is 2007-08-28.

Dewitt Pharmacy Inc's current location address is 1021 11th St, De Witt, Iowa. You can contact this provider via phone number 5636598910 and fax number 5636598411. The mailing address for Dewitt Pharmacy Inc is 1021 11th St, De Witt, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dewitt Pharmacy Inc
Address 1021 11th St, De Witt, Iowa
Phone Number 5636598910
Fax Number 5636598411
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bousselot Dennis
Credentials RPH
Telephone Number 5636595042

NPI Number Detail

NPI Number 1013928522
Provider Enumeration Date 2006-08-10
Last Updated Date 2007-08-28

Provider Mailing Address Detail

Address 1021 11th St
City De Witt
State Iowa (IA)
Post Code 527421209
Phone Number 5636598910
Fax Number 5636598411

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 1228
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
419267 IA --
1621831 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Dewitt Pharmacy Inc

What is the Dewitt Pharmacy Inc's unique identification number?

The Dewitt Pharmacy Inc has been assigned the NPI (National Provider Identifier) Number 1013928522 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Dewitt Pharmacy Inc is physically located?

The Dewitt Pharmacy Inc is situated at the following address: 1021 11Th St, De Witt, IA 527421209.

What is Dewitt Pharmacy Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Dewitt Pharmacy Inc's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1013928522 to Dewitt Pharmacy Inc?

The Dewitt Pharmacy Inc received its 1013928522 assignment from the Centers for Medicare & Medicaid Services on 2006-08-10.

As of what date were the Dewitt Pharmacy Inc's details last updated?

The information pertaining to the Dewitt Pharmacy Inc, including its address, specialty, and other details, was most recently updated on 2007-08-28.

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