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:
Map and Directions
Authorized official contact:
Name: Dykstra, Richard K RPH
Phone: (712) 439-1611

Health care specialties

SpecialtyCodeLicense #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 5 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 1477660512 NPPES
Iowa MEDICAID 0081661

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