| NPI | 1528017647 |
|---|---|
| Doing Business As | MEDICAP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGORY 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 |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 692) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-03-07 |