| NPI | 1407962400 |
|---|---|
| Doing Business As | MEDICAP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES R CARLSON Owner 515-432-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 590) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: IA 00063) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 0219540001) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: IA 0219540001) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-03-07 |