| NPI | 1891401535 |
|---|---|
| Doing Business As | HERITAGE PHARMACY - FORT MADISON |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JERRY MCCOY President/CEO 319-768-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |