NPI | 1134647100 |
---|---|
Doing Business As | MEDICAP PHARMACY |
Entity Type | Organization |
Authorized Contact | GREGORY JOHANSEN President 515-440-1270 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 1615) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2017-08-30 |
Last Update Date | 2023-02-14 |