Hull Pharmacy
LBN: Dykstra Pharmacy Co
Hull Pharmacy is an health care organization with primary practice located at 1044 Main Street Box 309, Hull IA 51239. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Long Term Care Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty.
Dykstra Pharmacy Co can be contacted via phone (712) 439-1611, or through Dykstra, Richard K via phone (712) 439-1611.
Contact Information
Primary practice address
1044 Main Street Box 309
Hull IA 51239
Phone: (712) 439-1611
Fax: (712) 439-1612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 14742 | Iowa |
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | 14742 | Iowa |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 14742 | Iowa |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 14742 | Iowa |
Profile Details
| NPI number | 1477660512 |
|---|---|
| LBN Legal business name | Dykstra Pharmacy Co |
| DBA Doing business as | Hull Pharmacy |
| Authorized official | Dykstra, Richard K RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477660512 | NPPES |
| Iowa | MEDICAID | 0081661 |
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