NPI | 1013022045 |
---|---|
Doing Business As | MEDICAP PHARMACY |
Entity Type | Organization |
Authorized Contact | LAWRENCE VAN HEUKELOM Owner Pharmacist 515-274-4609 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: IA 91) |
3336L0003X Pharmacy Long Term Care Pharmacy | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2023-03-07 |