Heritage Park Pharmacy Inc.

LBN: Heritage Park Pharmacy Inc.
Heritage Park Pharmacy Inc. is an health care organization with primary practice located at 1223 S. Gear Ave. Suite 105, West Burlington IA 52655-1690. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Heritage Park Pharmacy Inc. can be contacted via phone (319) 768-3950, or through Hayes, Tony via phone (319) 768-1000.

Contact Information

Primary practice address
1223 S. Gear Ave. Suite 105 West Burlington IA 52655-1690
Phone: (319) 768-3950
Fax: (319) 768-2955
Website:
Map and Directions
Authorized official contact:
Name: Hayes, Tony
Phone: (319) 768-1000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 602IA Iowa

Profile Details

NPI number 1306959531
LBN Legal business name Heritage Park Pharmacy Inc.
DBA Doing business as
Authorized official Hayes, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Nov 26th, 2013 - about 11 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 1306959531 NPPES
Other 1613365 NEPDP
MEDICAID 0199695 NEPDP

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