| NPI | 1639372055 |
|---|---|
| Doing Business As | MEDICAP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MASOODE NIKSERESHT Owner 712-527-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IA 1324) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-03-07 |