NPI | 1306913983 |
---|---|
Doing Business As | MEDICAP PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | GREG J JOHANSEN Owner/ President 515-440-1270 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 1309) |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2023-03-07 |