Heritage Family Pharmacy

LBN: Heritage Park Pharmacy Inc
Heritage Family Pharmacy is an health care organization with primary practice located at 1201 W Agency Rd , West Burlington IA 52655-1645. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Heritage Park Pharmacy Inc can be contacted via phone (319) 753-3681, or through Rollinger, Scott via phone (319) 753-3681.

Contact Information

Primary practice address
1201 W Agency Rd West Burlington IA 52655-1645
Phone: (319) 753-3681
Fax: (319) 768-3987
Website:
Map and Directions
Authorized official contact:
Name: Rollinger, Scott RPH
Phone: (319) 753-3681

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 625 Iowa

Profile Details

NPI number 1487761508
LBN Legal business name Heritage Park Pharmacy Inc
DBA Doing business as Heritage Family Pharmacy
Authorized official Rollinger, Scott RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated May 2nd, 2016 - about 8 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 1487761508 NPPES
Iowa MEDICAID 119965
Iowa Other 2028420

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