Dewitt Pharmacy Inc

LBN: Dewitt Pharmacy Inc
Dewitt Pharmacy Inc is an health care organization with primary practice located at 609 7Th Ave , Dewitt IA 52742. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Dewitt Pharmacy Inc can be contacted via phone (563) 659-5041, or through Bousselot, Dennis via phone (563) 659-5042.

Contact Information

Primary practice address
609 7Th Ave Dewitt IA 52742
Phone: (563) 659-5041
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bousselot, Dennis RPH
Phone: (563) 659-5042

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1212 Iowa
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1205847340
LBN Legal business name Dewitt Pharmacy Inc
DBA Doing business as Dewitt Pharmacy Inc
Authorized official Bousselot, Dennis RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 28th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205847340 NPPES
Iowa MEDICAID 0491548
Iowa Other 1622376

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