| 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 |