NPI | 1679764294 |
---|---|
Doing Business As | MEDICAP PHARMACY |
Entity Type | Organization |
Authorized Contact | GREG J JOHANSEN Owner/ President 515-440-1270 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 65) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2007-08-08 |
Last Update Date | 2023-03-07 |